NATE J ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225454

License Status

NOT RENEWED

Business

First Name

NATE

Middle

Last Name

ANDERSON

Business Name

NATE J ANDERSON

Original Issue Date

05/28/2014

Effective Date

01/12/2018

Expiration Date

03/31/2019

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019