GERRITJE G VAN DE MAAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199833

License Status

NOT RENEWED

Business

First Name

GERRITJE

Middle

Last Name

VAN DE MAAT

Prefix

Business Name

GERRITJE G VAN DE MAAT

Original Issue Date

08/09/2010

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/20/2021