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 2026-06-07 13:15:01 UTC
LAST UPDATED 2026-06-07 13:15:01 UTC
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