MIA DANIELLE ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268936

License Status

NOT RENEWED

Business

First Name

MIA

Middle

DANIELLE

Last Name

ANDERSON

Business Name

MIA DANIELLE ANDERSON

Original Issue Date

11/04/2019

Effective Date

11/04/2019

Expiration Date

09/30/2020

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

01/08/2021