DAVID JUAN VAN WAZER - Pharmacist License in Illinois | # 049251005

DAVID JUAN VAN WAZER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049251005

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

JUAN

Last Name

VAN WAZER

Business Name

DAVID JUAN VAN WAZER

Original Issue Date

06/02/2017

Effective Date

08/27/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021