DEREK J VADNAL DMD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126053

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

VADNAL

Suffix

DMD

Business Name

DEREK J VADNAL DMD

Original Issue Date

05/25/1999

Effective Date

05/25/1999

Expiration Date

03/31/2005

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005