SHANE MICHAEL GOSSELINK - Pharmacist License in Illinois | # 049118123

SHANE MICHAEL GOSSELINK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118123

License Status

NOT RENEWED

Business

N

First Name

SHANE

Middle

MICHAEL

Last Name

GOSSELINK

Business Name

SHANE MICHAEL GOSSELINK

Original Issue Date

07/15/1997

Effective Date

07/15/1997

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005