License holder summary

Wayne Brian Van Etten is a Pharmacy - Pharmacist licensed to practice in Colorado. The address on file for Wayne Brian Van Etten is 222 E. 425th RD, Fair Play, MO, 65649-5649. This licensed professional license is not current. The license was granted 07/11/1997 and expired on 10/31/2009.

Colorado

Division of Professions and Occupations

Wayne Brian Van Etten
Pharmacy - Pharmacist
License number
15020
Date granted
07/11/1997
Date expires
10/31/2009
Class
Pharmacy - Pharmacist
Status
Expired
Address
222 E. 425th RD, Fair Play, MO, 65649-5649
coloradolicensing.org
ID 28221728
LAST UPDATED 2024-02-24 07:41:28 UTC

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