AMANDA E GORMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149064

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

GORMAN

Business Name

AMANDA E GORMAN

Original Issue Date

06/23/2003

Effective Date

01/26/2011

Expiration Date

03/31/2012

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012