ANDREW DAVID REIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153089

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

DAVID

Last Name

REIS

Business Name

ANDREW DAVID REIS

Original Issue Date

01/29/2004

Effective Date

01/29/2004

Expiration Date

03/31/2005

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/20/2005