DEENA J ANDERSON - Pharmacist License in Illinois | # 049158627

DEENA J ANDERSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158627

License Status

NOT RENEWED

Business

N

First Name

DEENA

Middle

J

Last Name

ANDERSON

Business Name

DEENA J ANDERSON

Original Issue Date

12/28/2004

Effective Date

11/07/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014