ELMER P VAN DENBURGH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051038060

License Status

INACTIVE

Business

First Name

ELMER P

Last Name

VAN DENBURGH

Business Name

ELMER P VAN DENBURGH

Original Issue Date

10/10/1990

Effective Date

10/10/1990

Expiration Date

03/31/1996

City

SEDONA

State

Zip

86336

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/17/2005