MICHAELA P VANDIERENDONCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049051900

License Status

NOT RENEWED

Business

First Name

MICHAELA P

Last Name

VANDIERENDONCK

Business Name

MICHAELA P VANDIERENDONCK

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

HAMPTON

State

Zip

61256

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005