ANDREA LEE ANTOINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159052

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

LEE

Last Name

ANTOINE

Business Name

ANDREA LEE ANTOINE

Original Issue Date

02/03/2005

Effective Date

02/03/2005

Expiration Date

03/31/2006

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006