SUSAN JEAN VANDERHEYDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123286

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

JEAN

Last Name

VANDERHEYDEN

Business Name

SUSAN JEAN VANDERHEYDEN

Original Issue Date

10/19/1998

Effective Date

10/19/1998

Expiration Date

03/31/1999

City

RIDOTT

State

Zip

61067

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/17/2005