ANDREW J VANDERWAGEN - Pharmacist License in Illinois | # 049126923

ANDREW J VANDERWAGEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126923

License Status

NOT RENEWED

Business

N

First Name

ANDREW

Middle

J

Last Name

VANDERWAGEN

Business Name

ANDREW J VANDERWAGEN

Original Issue Date

08/09/1999

Effective Date

08/09/1999

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005