ALVIN R VANENGEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035398

License Status

INACTIVE

Business

First Name

ALVIN R

Last Name

VANENGEN

Business Name

ALVIN R VANENGEN

Original Issue Date

09/05/1984

Effective Date

09/05/1984

Expiration Date

03/31/1988

City

CEDAR FALLS

State

Zip

50613

County

IOWA

Ever Disciplined

LastModifiedDate

10/17/2005