JAYNE M VAN DEVENTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074704

License Status

NOT RENEWED

Business

First Name

JAYNE M

Last Name

VAN DEVENTER

Business Name

JAYNE M VAN DEVENTER

Original Issue Date

05/22/1981

Effective Date

04/28/2011

Expiration Date

03/31/2012

City

WOODDALE

State

Zip

60191

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/07/2012