TIFFANY DORIEL GOST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128317

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

DORIEL

Last Name

GOST

Business Name

TIFFANY DORIEL GOST

Original Issue Date

11/23/1999

Effective Date

11/23/1999

Expiration Date

03/31/2003

City

BARTLETT

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005