DUSTIN W ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201040

License Status

NOT RENEWED

Business

First Name

DUSTIN

Middle

Last Name

ANDERSON

Business Name

DUSTIN W ANDERSON

Original Issue Date

10/14/2010

Effective Date

03/13/2017

Expiration Date

03/31/2018

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

06/19/2018