BENECIA G VANDERWOUDE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082622

License Status

INACTIVE

Business

First Name

BENECIA

Middle

Last Name

VANDERWOUDE

Business Name

BENECIA G VANDERWOUDE

Original Issue Date

05/16/1986

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

N LAS VEGAS

State

Zip

89084

County

CLARK

Ever Disciplined

LastModifiedDate

01/06/2009