ANDREA D MACON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254521

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

MACON

Business Name

ANDREA D MACON

Original Issue Date

11/30/2017

Effective Date

06/08/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019