DAVID JUAN VAN WAZER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049251005

License Status

NOT RENEWED

Business

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

City

LA GRANGE PARK

State

Zip

60526

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021