ANTOINETTE R GORGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155117

License Status

NOT RENEWED

Business

First Name

ANTOINETTE

Middle

Last Name

GORGA

Business Name

ANTOINETTE R GORGA

Original Issue Date

06/14/2004

Effective Date

06/14/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005