PATRICK LAWRENCE GILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149692

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

LAWRENCE

Last Name

GILLER

Business Name

PATRICK LAWRENCE GILLER

Original Issue Date

08/05/2003

Effective Date

08/05/2003

Expiration Date

03/31/2006

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006