JENNIFER SUSAN ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157312

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

SUSAN

Last Name

ANDERSON

Business Name

JENNIFER SUSAN ANDERSON

Original Issue Date

10/05/2004

Effective Date

10/05/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005