ANDREA L ROSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161178

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

ROSE

Business Name

ANDREA L ROSE

Original Issue Date

05/20/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/14/2007