GWEN M HOUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064898

License Status

NOT RENEWED

Business

First Name

GWEN M

Last Name

HOUSE

Business Name

GWEN M HOUSE

Original Issue Date

02/20/1976

Effective Date

02/20/1976

Expiration Date

01/01/1997

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005