TIMOTHY J GORMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152477

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

GORMAN

Business Name

TIMOTHY J GORMAN

Original Issue Date

12/12/2003

Effective Date

08/24/2009

Expiration Date

03/31/2010

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010