ANDREW R LUNDAHL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049233838

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

LUNDAHL

Business Name

ANDREW R LUNDAHL

Original Issue Date

06/17/2015

Effective Date

02/04/2019

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2021