MELISSA KATHRYN GOSSMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141601

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

KATHRYN

Last Name

GOSSMAN

Business Name

MELISSA KATHRYN GOSSMAN

Original Issue Date

03/29/2002

Effective Date

03/29/2002

Expiration Date

03/31/2004

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005