HANS VANDERGOUW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069803

License Status

NOT RENEWED

Business

First Name

HANS

Last Name

VANDERGOUW

Business Name

HANS VANDERGOUW

Original Issue Date

07/21/1978

Effective Date

07/21/1978

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005