DENNIS W VANDER VEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101983

License Status

NOT RENEWED

Business

First Name

DENNIS W

Last Name

VANDER VEN

Business Name

DENNIS W VANDER VEN

Original Issue Date

12/11/1992

Effective Date

03/19/2015

Expiration Date

03/31/2016

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/20/2016