JANICE DIANA GORHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120870

License Status

NOT RENEWED

Business

First Name

JANICE

Middle

DIANA

Last Name

GORHAM

Business Name

JANICE DIANA GORHAM

Original Issue Date

05/04/1998

Effective Date

05/04/1998

Expiration Date

03/31/2000

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005