WILLIAM TUCKER VANDENBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166438

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

TUCKER

Last Name

VANDENBERG

Business Name

WILLIAM TUCKER VANDENBERG

Original Issue Date

02/06/2006

Effective Date

03/01/2010

Expiration Date

03/31/2011

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/12/2011