SELENA PHEONVA ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162151

License Status

NOT RENEWED

Business

First Name

SELENA

Middle

PHEONVA

Last Name

ANDERSON

Business Name

SELENA PHEONVA ANDERSON

Original Issue Date

07/08/2005

Effective Date

06/28/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007