JAY D VANDEURSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204933

License Status

NOT RENEWED

Business

First Name

JAY

Middle

Last Name

VANDEURSEN

Prefix

Business Name

JAY D VANDEURSEN

Original Issue Date

06/23/2011

Effective Date

04/21/2014

Expiration Date

03/31/2015

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/11/2015