VICKI RENEE GOTHARD - Pharmacist License in Illinois | # 049109399

VICKI RENEE GOTHARD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109399

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005