DAVID L VANLIESHOUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058310

License Status

NOT RENEWED

Business

First Name

DAVID L

Last Name

VANLIESHOUT

Business Name

DAVID L VANLIESHOUT

Original Issue Date

08/29/1972

Effective Date

08/29/1972

Expiration Date

01/01/1997

City

ST PAUL

State

Zip

55105

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/17/2005