DAVID DOUGLAS ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156959

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

DOUGLAS

Last Name

ANDERSON

Business Name

DAVID DOUGLAS ANDERSON

Original Issue Date

08/27/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

MARION

State

Zip

54950

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/14/2007