PATRICIA A VANTILBURG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114281

License Status

NOT RENEWED

Business

First Name

PATRICIA A

Last Name

VANTILBURG

Business Name

PATRICIA A VANTILBURG

Original Issue Date

05/20/1996

Effective Date

05/20/1996

Expiration Date

03/31/2001

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005