RONDA K VANDIVIER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117285

License Status

NOT RENEWED

Business

First Name

RONDA

Middle

Last Name

VANDIVIER

Business Name

RONDA K VANDIVIER

Original Issue Date

04/17/1997

Effective Date

04/17/1997

Expiration Date

03/31/1998

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005