TERESA GORHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103504

License Status

NOT RENEWED

Business

First Name

TERESA

Last Name

GORHAM

Business Name

TERESA GORHAM

Original Issue Date

05/20/1993

Effective Date

05/20/1993

Expiration Date

03/31/2002

City

LEWISTOWN

State

Zip

61542

County

FULTON

Ever Disciplined

LastModifiedDate

12/06/2005