NEIL R ANDERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170991

License Status

NOT RENEWED

Business

First Name

NEIL R

Last Name

ANDERSEN

Business Name

NEIL R ANDERSEN

Original Issue Date

08/31/2006

Effective Date

02/17/2011

Expiration Date

03/31/2012

City

HANIESVILLE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/07/2012