JACQUELINE BROOKE GOSSETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155268

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

BROOKE

Last Name

GOSSETT

Business Name

JACQUELINE BROOKE GOSSETT

Original Issue Date

06/16/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/14/2007