BRIAN M GORMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049089725

License Status

NOT RENEWED

Business

First Name

BRIAN M

Last Name

GORMAN

Business Name

BRIAN M GORMAN

Original Issue Date

04/21/1989

Effective Date

04/21/1989

Expiration Date

03/31/1998

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005