VICENTE DE ANDA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154673

License Status

NOT RENEWED

Business

First Name

VICENTE

Last Name

DE ANDA

Business Name

VICENTE DE ANDA

Original Issue Date

05/28/2004

Effective Date

05/28/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005