ELLEN GUMM - Pharmacist License in Illinois | # 049060397

ELLEN GUMM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060397

License Status

NOT RENEWED

Business

N

First Name

ELLEN

Last Name

GUMM

Business Name

ELLEN GUMM

Original Issue Date

10/15/1973

Effective Date

10/15/1973

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005