JEANNIE M GOMOLL - Pharmacist License in Illinois | # 049158309

JEANNIE M GOMOLL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158309

License Status

NOT RENEWED

Business

N

First Name

JEANNIE

Middle

M

Last Name

GOMOLL

Business Name

JEANNIE M GOMOLL

Original Issue Date

12/13/2004

Effective Date

12/13/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006