LYLE WILLIAM ANDERSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026196

License Status

INACTIVE

Business

First Name

LYLE WILLIAM

Last Name

ANDERSON

Business Name

LYLE WILLIAM ANDERSON

Original Issue Date

01/01/1997

Effective Date

01/17/2012

Expiration Date

03/31/2014

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

01/09/2014