MARY ELISE ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161031

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ELISE

Last Name

ANDERSON

Business Name

MARY ELISE ANDERSON

Original Issue Date

05/16/2005

Effective Date

05/16/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006