JEAN E GOTHARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074579

License Status

NOT RENEWED

Business

First Name

JEAN E

Last Name

GOTHARD

Business Name

JEAN E GOTHARD

Original Issue Date

05/01/1981

Effective Date

05/01/1981

Expiration Date

03/31/1987

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005