ROBERT BRETT GOLLON Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068984

License Status

CANCELLED

Business

First Name

ROBERT BRETT

Last Name

GOLLON

Business Name

ROBERT BRETT GOLLON

Original Issue Date

03/17/1978

Effective Date

03/17/1978

Expiration Date

03/31/1984

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005