RENEE J GORK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108161

License Status

NOT RENEWED

Business

First Name

RENEE J

Last Name

GORK

Business Name

RENEE J GORK

Original Issue Date

09/17/1994

Effective Date

09/17/1994

Expiration Date

03/31/1996

City

LENA

State

Zip

61048

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/17/2005