MARY E VANDENBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222886

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

VANDENBERG

Prefix

Business Name

MARY E VANDENBERG

Original Issue Date

01/14/2014

Effective Date

01/14/2014

Expiration Date

03/31/2015

City

SAINT CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

05/11/2015