Pharmacist
Simon B Van Wagenen
Orange Park, Clay County
License revoked or given up
Relinquished during discipline · expired Sep 30, 2017
Pharmacist license PS16532
- License number
- PS16532
- Status
- Relinquished during discipline
- First licensed
- Feb 22, 1978
- Status since
- Apr 14, 2017
- Expires
- Sep 30, 2017
- Licensed by
- Florida Department of Health (DOH)
Board and disciplinary actions
- Voluntary Surrender · Apr 14, 2017
Florida Department of Health · Case 2016130151
From the Department of Health's practitioner profile files. Final orders and the full documents are on the state's license search.
About this license
Simon B Van Wagenen held a pharmacist license from the Florida Department of Health (DOH), number PS16532. It was first issued on Feb 22, 1978. The state lists its status as “Relinquished during discipline”, and it expired on Sep 30, 2017. The city of record is Orange Park, Clay County.