GARY L PARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080343

License Status

NOT RENEWED

Business

First Name

GARY L

Last Name

PARK

Business Name

GARY L PARK

Original Issue Date

10/09/1984

Effective Date

10/09/1984

Expiration Date

03/31/2006

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

05/11/2006