CATHERINE ELLEN GONGWER Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067241

License Status

CANCELLED

Business

First Name

CATHERINE ELLEN

Last Name

GONGWER

Business Name

CATHERINE ELLEN GONGWER

Original Issue Date

05/13/1977

Effective Date

05/13/1977

Expiration Date

01/01/1997

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

10/17/2005