BRENT A VAN DUYN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078336

License Status

NOT RENEWED

Business

First Name

BRENT A

Last Name

VAN DUYN

Business Name

BRENT A VAN DUYN

Original Issue Date

05/19/1983

Effective Date

05/19/1983

Expiration Date

03/31/1990

City

LAGRANGE PARK

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005