ALEX JOHAN DUYVEJONCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153153

License Status

NOT RENEWED

Business

First Name

ALEX

Middle

JOHAN

Last Name

DUYVEJONCK

Business Name

ALEX JOHAN DUYVEJONCK

Original Issue Date

02/04/2004

Effective Date

02/03/2009

Expiration Date

03/31/2010

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/04/2010