C W DAVID ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036022

License Status

NOT RENEWED

Business

First Name

C W DAVID

Last Name

ANDERSON

Business Name

C W DAVID ANDERSON

Original Issue Date

12/09/1985

Effective Date

03/12/2020

Expiration Date

07/31/2022

City

KENOSHSDEERFIELD

State

Zip

53142

County

LAKE

Ever Disciplined

LastModifiedDate

10/14/2022