MARK W VANDENBURGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167513

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

VANDENBURGH

Business Name

MARK W VANDENBURGH

Original Issue Date

04/10/2006

Effective Date

02/29/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017