ANSU VAN DEN ELZEN DC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213833

License Status

NOT RENEWED

Business

Title

First Name

ANSU

Last Name

VAN DEN ELZEN

Prefix

Business Name

ANSU VAN DEN ELZEN DC

Original Issue Date

10/02/2012

Effective Date

04/02/2013

Expiration Date

03/31/2014

City

BRIDGEVIEW

State

Zip

60455

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014