WAYNE VANDORN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071576

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005