KEVIN SCOTT GOUGHNOUR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126663

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

SCOTT

Last Name

GOUGHNOUR

Business Name

KEVIN SCOTT GOUGHNOUR

Original Issue Date

07/12/1999

Effective Date

07/12/1999

Expiration Date

03/31/2002

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

12/06/2005