KEN O ANDERSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193837

License Status

INACTIVE

Business

First Name

KEN

Middle

Last Name

ANDERSON

Business Name

KEN O ANDERSON

Original Issue Date

08/24/2009

Effective Date

01/14/2010

Expiration Date

03/31/2011

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

01/05/2011