SELENA MARIE ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179875

License Status

NOT RENEWED

Business

First Name

SELENA

Middle

MARIE

Last Name

ANDERSON

Business Name

SELENA MARIE ANDERSON

Original Issue Date

10/11/2007

Effective Date

03/26/2009

Expiration Date

03/31/2010

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010