ANDREA M VANTINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049090912

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

VANTINE

Business Name

ANDREA M VANTINE

Original Issue Date

08/15/1989

Effective Date

08/15/1989

Expiration Date

03/31/1996

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005