TRAVIS J ANDREWS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172493

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

Last Name

ANDREWS

Business Name

TRAVIS J ANDREWS

Original Issue Date

11/14/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008