AYSIA N SMITH ANDERSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192808

License Status

INACTIVE

Business

First Name

AYSIA

Middle

Last Name

SMITH ANDERSON

Prefix

Business Name

AYSIA N SMITH ANDERSON

Original Issue Date

07/03/2009

Effective Date

07/03/2009

Expiration Date

03/31/2010

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2010