KELLY J GOSSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076113

License Status

NOT RENEWED

Business

First Name

KELLY J

Last Name

GOSSEN

Business Name

KELLY J GOSSEN

Original Issue Date

03/05/1982

Effective Date

03/05/1982

Expiration Date

03/31/1991

City

JOLIET

State

Zip

60436

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005