MARSHA L GOTTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071122

License Status

NOT RENEWED

Business

First Name

MARSHA L

Last Name

GOTTMAN

Business Name

MARSHA L GOTTMAN

Original Issue Date

05/11/1979

Effective Date

05/11/1979

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005