MYRNA L GERSTENKORN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133659

License Status

INACTIVE

Business

First Name

MYRNA

Middle

Last Name

GERSTENKORN

Business Name

MYRNA L GERSTENKORN

Original Issue Date

11/20/2000

Effective Date

02/03/2011

Expiration Date

03/31/2012

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/12/2012