MARK C GORRIE DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049087091

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

GORRIE

Suffix

Business Name

MARK C GORRIE DO

Original Issue Date

06/18/1988

Effective Date

06/18/1988

Expiration Date

03/31/1991

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005