DAVID LEE GORTAT - Pharmacist License in Indiana | # 049055293

DAVID LEE GORTAT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049055293

License Status

NOT RENEWED

Business

N

First Name

DAVID LEE

Last Name

GORTAT

Business Name

DAVID LEE GORTAT

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005