WAYNE JAMES VERGOWE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288591

License Status

NOT RENEWED

Business

First Name

WAYNE

Middle

JAMES

Last Name

VERGOWE

Business Name

WAYNE JAMES VERGOWE

Original Issue Date

10/25/2001

Effective Date

01/17/2014

Expiration Date

03/31/2016

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016