VIVIAN CAROL GORUP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123524

License Status

NOT RENEWED

Business

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

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005