MICHAEL MATTHEW GORMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100115

License Status

NOT RENEWED

Business

First Name

MICHAEL MATTHEW

Last Name

GORMAN

Business Name

MICHAEL MATTHEW GORMAN

Original Issue Date

05/09/1992

Effective Date

05/09/1992

Expiration Date

03/31/1996

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005