ANNDREA DISTOR DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266106

License Status

NOT RENEWED

Business

Title

First Name

ANNDREA

Last Name

DISTOR

Business Name

ANNDREA DISTOR DO

Original Issue Date

06/18/2019

Effective Date

06/18/2019

Expiration Date

09/30/2020

City

BOLINGBROOK

State

Zip

60490

County

WILL

Ever Disciplined

LastModifiedDate

01/08/2021