JILL M GOOSSENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101673

License Status

NOT RENEWED

Business

First Name

JILL M

Last Name

GOOSSENS

Business Name

JILL M GOOSSENS

Original Issue Date

11/12/1992

Effective Date

11/12/1992

Expiration Date

03/31/1994

City

ALSIP

State

Zip

60658

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005