LILLIE M ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049244889

License Status

NOT RENEWED

Business

First Name

LILLIE

Middle

Last Name

ANDERSON

Business Name

LILLIE M ANDERSON

Original Issue Date

09/22/2016

Effective Date

03/29/2017

Expiration Date

03/31/2018

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/19/2018