GERALD LEE VAN DEUSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192278

License Status

NOT RENEWED

Business

First Name

GERALD

Middle

LEE

Last Name

VAN DEUSEN

Business Name

GERALD LEE VAN DEUSEN

Original Issue Date

06/11/2009

Effective Date

06/11/2009

Expiration Date

03/31/2010

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

05/04/2010