PATRICIA MARY GORMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124996

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

MARY

Last Name

GORMAN

Business Name

PATRICIA MARY GORMAN

Original Issue Date

03/12/1999

Effective Date

02/24/2014

Expiration Date

03/31/2015

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/11/2015