JOHN W DEJONG - Pharmacist License in Indiana | # 051287119

JOHN W DEJONG

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051287119

License Status

INACTIVE

Business

N

First Name

JOHN

Middle

W

Last Name

DEJONG

Business Name

JOHN W DEJONG

Original Issue Date

06/08/1999

Effective Date

01/18/2006

Expiration Date

03/31/2008

State

IN

Ever Disciplined

N

LastModifiedDate

01/10/2008