DYNASTY NICOLE ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276643

License Status

NOT RENEWED

Business

First Name

DYNASTY

Middle

NICOLE

Last Name

ANDERSON

Business Name

DYNASTY NICOLE ANDERSON

Original Issue Date

10/14/2020

Effective Date

01/19/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022