VICKI RENEE GOTHARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109399

License Status

NOT RENEWED

Business

First Name

VICKI

Middle

RENEE

Last Name

GOTHARD

Business Name

VICKI RENEE GOTHARD

Original Issue Date

01/25/1995

Effective Date

01/25/1995

Expiration Date

03/31/1997

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005