PENNY DENISE VAN GILDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117518

License Status

NOT RENEWED

Business

First Name

PENNY

Middle

DENISE

Last Name

VAN GILDER

Business Name

PENNY DENISE VAN GILDER

Original Issue Date

05/09/1997

Effective Date

05/09/1997

Expiration Date

03/31/1998

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005