ZACHARY R ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180560

License Status

NOT RENEWED

Business

First Name

ZACHARY

Middle

Last Name

ANDERSON

Business Name

ZACHARY R ANDERSON

Original Issue Date

11/15/2007

Effective Date

03/17/2009

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010