RONALD D VAN GENPEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097695

License Status

NOT RENEWED

Business

First Name

RONALD D

Last Name

VAN GENPEN

Business Name

RONALD D VAN GENPEN

Original Issue Date

08/06/1991

Effective Date

08/06/1991

Expiration Date

03/31/1992

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005