NEIL DAVID VASTINE - Pharmacist License in Illinois | # 049174875

NEIL DAVID VASTINE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174875

License Status

NOT RENEWED

Business

N

First Name

NEIL

Middle

DAVID

Last Name

VASTINE

Business Name

NEIL DAVID VASTINE

Original Issue Date

03/15/2007

Effective Date

02/01/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011