JAMES D DECLERCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099960

License Status

NOT RENEWED

Business

First Name

JAMES D

Last Name

DECLERCK

Business Name

JAMES D DECLERCK

Original Issue Date

04/22/1992

Effective Date

04/22/1992

Expiration Date

03/31/1993

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

10/17/2005