CHRISTIAN MARY GOUSMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142272

License Status

NOT RENEWED

Business

First Name

CHRISTIAN

Middle

MARY

Last Name

GOUSMAN

Business Name

CHRISTIAN MARY GOUSMAN

Original Issue Date

05/08/2002

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2009

Case Number

2008000876

Action

Suspension

Discipline Start Date

11/17/2009

Discipline Reason

after admitted to her former employer that she diverted controlled substances from pharmacy inventory for personal use without a prescription.