CODY C ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196338

License Status

NOT RENEWED

Business

First Name

CODY

Middle

Last Name

ANDERSON

Business Name

CODY C ANDERSON

Original Issue Date

01/20/2010

Effective Date

02/24/2015

Expiration Date

03/31/2016

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/20/2016