MIKE RYAN GORDON - Pharmacist License in Illinois | # 049124649

MIKE RYAN GORDON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124649

License Status

NOT RENEWED

Business

N

First Name

MIKE

Middle

RYAN

Last Name

GORDON

Business Name

MIKE RYAN GORDON

Original Issue Date

02/08/1999

Effective Date

01/04/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021