CONNIE R VAN BUREN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099562

License Status

NOT RENEWED

Business

First Name

CONNIE R

Last Name

VAN BUREN

Business Name

CONNIE R VAN BUREN

Original Issue Date

03/05/1992

Effective Date

03/05/1992

Expiration Date

03/31/1994

City

SMITHTON

State

Zip

62285

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005