BERND W GOGOL RPH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153882

License Status

NOT RENEWED

Business

First Name

BERND

Middle

Last Name

GOGOL

Suffix

RPH

Business Name

BERND W GOGOL RPH

Original Issue Date

03/25/2004

Effective Date

03/25/2004

Expiration Date

03/31/2006

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

2003009086

Action

Suspension

Discipline Start Date

06/21/2005