PHILLIP BLASE GORECKI - Pharmacist License in Illinois | # 049072189

PHILLIP BLASE GORECKI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072189

License Status

NOT RENEWED

Business

N

First Name

PHILLIP BLASE

Last Name

GORECKI

Business Name

PHILLIP BLASE GORECKI

Original Issue Date

11/28/1979

Effective Date

11/28/1979

Expiration Date

03/31/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005