JOANNE VANDERBLOEMEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062428

License Status

NOT RENEWED

Business

First Name

JOANNE

Last Name

VANDERBLOEMEN

Business Name

JOANNE VANDERBLOEMEN

Original Issue Date

10/18/1974

Effective Date

10/18/1974

Expiration Date

01/01/1997

City

OREANA

State

Zip

62554

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005