MARY LYNNAE VANDEURSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136942

License Status

NOT RENEWED

Business

First Name

MARY

Middle

LYNNAE

Last Name

VANDEURSEN

Business Name

MARY LYNNAE VANDEURSEN

Original Issue Date

07/02/2001

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/14/2007