REGINA A GORDON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155426

License Status

NOT RENEWED

Business

First Name

REGINA

Middle

Last Name

GORDON

Business Name

REGINA A GORDON

Original Issue Date

06/21/2004

Effective Date

06/21/2004

Expiration Date

03/31/2005

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005