VANCE E DEBRUINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094076

License Status

NOT RENEWED

Business

First Name

VANCE E

Last Name

DEBRUINE

Business Name

VANCE E DEBRUINE

Original Issue Date

08/07/1990

Effective Date

08/07/1990

Expiration Date

03/31/1991

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005