BARRY AUGUST GOUBLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151267

License Status

NOT RENEWED

Business

First Name

BARRY

Middle

AUGUST

Last Name

GOUBLER

Business Name

BARRY AUGUST GOUBLER

Original Issue Date

10/02/2003

Effective Date

10/02/2003

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005