GORDON GREGORY WELLER - Pharmacist License in Illinois | # 049061021

GORDON GREGORY WELLER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061021

License Status

NOT RENEWED

Business

N

First Name

GORDON GREGORY

Last Name

WELLER

Business Name

GORDON GREGORY WELLER

Original Issue Date

02/15/1974

Effective Date

02/15/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005