ROBERTA E GUNDERMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098905

License Status

NOT RENEWED

Business

First Name

ROBERTA E

Last Name

GUNDERMAN

Business Name

ROBERTA E GUNDERMAN

Original Issue Date

12/17/1991

Effective Date

12/17/1991

Expiration Date

03/31/1997

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005