DARRELL GENE WENNERSTEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152595

License Status

NOT RENEWED

Business

First Name

DARRELL

Middle

GENE

Last Name

WENNERSTEN

Business Name

DARRELL GENE WENNERSTEN

Original Issue Date

12/18/2003

Effective Date

12/18/2003

Expiration Date

03/31/2005

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005