ANDREA M VANTINE - Pharmacist License in Illinois | # 049090912

ANDREA M VANTINE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049090912

License Status

NOT RENEWED

Business

N

First Name

ANDREA

Middle

M

Last Name

VANTINE

Business Name

ANDREA M VANTINE

Original Issue Date

08/15/1989

Effective Date

08/15/1989

Expiration Date

03/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005