BRENT A VAN DUYN - Pharmacist License in Illinois | # 049078336

BRENT A VAN DUYN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078336

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005