CARL R ANDERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176263

License Status

NOT RENEWED

Business

First Name

CARL

Middle

Last Name

ANDERSEN

Business Name

CARL R ANDERSEN

Original Issue Date

05/11/2007

Effective Date

03/02/2011

Expiration Date

03/31/2012

City

SAINT CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

05/07/2012