DEBRA SUE VANDENBROUCKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073904

License Status

NOT RENEWED

Business

First Name

DEBRA SUE

Last Name

VANDENBROUCKE

Business Name

DEBRA SUE VANDENBROUCKE

Original Issue Date

11/14/1980

Effective Date

11/14/1980

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005