VIVIAN CAROL GORUP - Pharmacist License in Illinois | # 049123524

VIVIAN CAROL GORUP

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123524

License Status

NOT RENEWED

Business

N

First Name

VIVIAN

Middle

CAROL

Last Name

GORUP

Business Name

VIVIAN CAROL GORUP

Original Issue Date

10/29/1998

Effective Date

10/29/1998

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005