JOHN MATIAS VAN WAZER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267967

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

MATIAS

Last Name

VAN WAZER

Business Name

JOHN MATIAS VAN WAZER

Original Issue Date

09/20/2019

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

LA GRANGE PARK

State

Zip

60526

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022