ANNA MA VANDER WEIDE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193353

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

Last Name

VANDER WEIDE

Prefix

Business Name

ANNA MA VANDER WEIDE

Original Issue Date

08/02/2009

Effective Date

02/21/2012

Expiration Date

03/31/2013

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/06/2013