ETHAN F VANDERSAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126037

License Status

NOT RENEWED

Business

First Name

ETHAN

Middle

Last Name

VANDERSAND

Business Name

ETHAN F VANDERSAND

Original Issue Date

05/24/1999

Effective Date

05/24/1999

Expiration Date

03/31/2003

City

WHITE HALL

State

Zip

62092

County

GREENE

Ever Disciplined

LastModifiedDate

10/20/2005