ANTHONY LEE ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049243401

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

LEE

Last Name

ANDERSON

Business Name

ANTHONY LEE ANDERSON

Original Issue Date

07/20/2016

Effective Date

07/20/2016

Expiration Date

03/31/2017

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017