SKUYLER B VAN FOSSAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218973

License Status

NOT RENEWED

Business

First Name

SKUYLER

Middle

Last Name

VAN FOSSAN

Prefix

Business Name

SKUYLER B VAN FOSSAN

Original Issue Date

06/25/2013

Effective Date

03/19/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015