PRESTON LORILL VANDER VEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149332

License Status

NOT RENEWED

Business

First Name

PRESTON

Middle

LORILL

Last Name

VANDER VEN

Business Name

PRESTON LORILL VANDER VEN

Original Issue Date

06/27/2003

Effective Date

11/28/2022

Expiration Date

03/31/2023

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/07/2023