RAGEN S GILLAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096764

License Status

NOT RENEWED

Business

First Name

RAGEN S

Last Name

GILLAM

Business Name

RAGEN S GILLAM

Original Issue Date

05/03/1991

Effective Date

05/03/1991

Expiration Date

03/31/1995

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005