ANDREA LEIGH MYREN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162782

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

LEIGH

Last Name

MYREN

Business Name

ANDREA LEIGH MYREN

Original Issue Date

08/05/2005

Effective Date

03/29/2010

Expiration Date

03/31/2011

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/12/2011