CLARENCE A NAGELVOORT Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066076

License Status

CANCELLED

Business

First Name

CLARENCE A

Last Name

NAGELVOORT

Business Name

CLARENCE A NAGELVOORT

Original Issue Date

09/10/1976

Effective Date

09/10/1976

Expiration Date

01/01/1997

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005