BENJAMIN ROSS VAN GUILDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164291

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

ROSS

Last Name

VAN GUILDER

Business Name

BENJAMIN ROSS VAN GUILDER

Original Issue Date

09/30/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHARLEVOIX

State

Zip

49720

Ever Disciplined

LastModifiedDate

05/06/2009