JEANNIE M GOMOLL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158309

License Status

NOT RENEWED

Business

First Name

JEANNIE

Middle

Last Name

GOMOLL

Business Name

JEANNIE M GOMOLL

Original Issue Date

12/13/2004

Effective Date

12/13/2004

Expiration Date

03/31/2006

City

INGLESIDE

State

Zip

60041

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006