GREGORY J MOUTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103798

License Status

NOT RENEWED

Business

First Name

GREGORY J

Last Name

MOUTON

Business Name

GREGORY J MOUTON

Original Issue Date

06/21/1993

Effective Date

06/21/1993

Expiration Date

03/31/1997

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005