MARK W VANDERKAMP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130532

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

VANDERKAMP

Business Name

MARK W VANDERKAMP

Original Issue Date

04/14/2000

Effective Date

04/14/2000

Expiration Date

03/31/2001

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005