SUSAN L GOMOLL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071829

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

GOMOLL

Business Name

SUSAN L GOMOLL

Original Issue Date

09/07/1979

Effective Date

09/07/1979

Expiration Date

03/31/1984

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005