ANDRE L SIMMONS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140630

License Status

NOT RENEWED

Business

First Name

ANDRE

Middle

Last Name

SIMMONS

Business Name

ANDRE L SIMMONS

Original Issue Date

02/15/2002

Effective Date

02/15/2002

Expiration Date

03/31/2003

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/20/2005