DAVID LUCIEN VANDENDORPE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184324

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

LUCIEN

Last Name

VANDENDORPE

Business Name

DAVID LUCIEN VANDENDORPE

Original Issue Date

05/16/2008

Effective Date

01/21/2014

Expiration Date

03/31/2015

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2015