EMILY A VANDERWULP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187575

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

Last Name

VANDERWULP

Business Name

EMILY A VANDERWULP

Original Issue Date

10/09/2008

Effective Date

03/03/2009

Expiration Date

03/31/2010

City

SOUTH PEKIN

State

Zip

61564

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/04/2010