DEENA J ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158627

License Status

NOT RENEWED

Business

First Name

DEENA

Middle

Last Name

ANDERSON

Business Name

DEENA J ANDERSON

Original Issue Date

12/28/2004

Effective Date

11/07/2013

Expiration Date

03/31/2014

City

ST DAVID

State

Zip

61563

County

FULTON

Ever Disciplined

LastModifiedDate

05/06/2014