RUSSELL GWYNFOR GAPE Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066352

License Status

CANCELLED

Business

First Name

RUSSELL GWYNFOR

Last Name

GAPE

Business Name

RUSSELL GWYNFOR GAPE

Original Issue Date

10/29/1976

Effective Date

10/29/1976

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005