ETHAN F VANDERSAND - Pharmacist License in Illinois | # 049126037

ETHAN F VANDERSAND

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126037

License Status

NOT RENEWED

Business

N

First Name

ETHAN

Middle

F

Last Name

VANDERSAND

Business Name

ETHAN F VANDERSAND

Original Issue Date

05/24/1999

Effective Date

05/24/1999

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005