WAYNE VANDORN - Pharmacist License in Illinois | # 049071576

WAYNE VANDORN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071576

License Status

NOT RENEWED

Business

N

First Name

WAYNE

Last Name

VANDORN

Business Name

WAYNE VANDORN

Original Issue Date

07/13/1979

Effective Date

07/13/1979

Expiration Date

03/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005