VICTORIA L DECLERCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086231

License Status

NOT RENEWED

Business

First Name

VICTORIA L

Last Name

DECLERCK

Business Name

VICTORIA L DECLERCK

Original Issue Date

03/22/1988

Effective Date

03/22/1988

Expiration Date

03/31/1993

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005