DARRELL GENE WENNERSTEN - Pharmacist License in Illinois | # 049152595

DARRELL GENE WENNERSTEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152595

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005