ANDREW J VANDERWAGEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126923

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

VANDERWAGEN

Business Name

ANDREW J VANDERWAGEN

Original Issue Date

08/09/1999

Effective Date

08/09/1999

Expiration Date

03/31/2002

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/06/2005