CHANCE F GIBSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154252

License Status

NOT RENEWED

Business

First Name

CHANCE

Middle

Last Name

GIBSON

Business Name

CHANCE F GIBSON

Original Issue Date

05/18/2004

Effective Date

05/18/2004

Expiration Date

03/31/2005

City

PARK FORREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005