HANS VANDERGOUW - Pharmacist License in Illinois | # 049069803

HANS VANDERGOUW

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069803

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005