SUSAN R GOOCH - Pharmacist License in Illinois | # 049101413

SUSAN R GOOCH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101413

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Middle

R

Last Name

GOOCH

Business Name

SUSAN R GOOCH

Original Issue Date

10/03/1992

Effective Date

10/03/1992

Expiration Date

03/31/1995

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005