TINA M VAN VLECK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182914

License Status

INACTIVE

Business

First Name

TINA

Middle

Last Name

VAN VLECK

Business Name

TINA M VAN VLECK

Original Issue Date

03/19/2008

Effective Date

03/04/2010

Expiration Date

03/31/2011

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/05/2011