K G ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051016969

License Status

NOT RENEWED

Business

First Name

K G

Last Name

ANDERSON

Business Name

K G ANDERSON

Original Issue Date

01/01/1997

Expiration Date

03/31/1992

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005