PATRICE GIPSON - Pharmacist License in Illinois | # 049106832

PATRICE GIPSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106832

License Status

NOT RENEWED

Business

N

First Name

PATRICE

Last Name

GIPSON

Business Name

PATRICE GIPSON

Original Issue Date

05/09/1994

Effective Date

05/09/1994

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005