GARY W REGELSTAD Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058409

License Status

CANCELLED

Business

First Name

GARY W

Last Name

REGELSTAD

Business Name

GARY W REGELSTAD

Original Issue Date

09/06/1972

Effective Date

09/06/1972

Expiration Date

01/01/1997

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005