KRISTEN M GOGOL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160842

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

Last Name

GOGOL

Business Name

KRISTEN M GOGOL

Original Issue Date

05/05/2005

Effective Date

05/05/2005

Expiration Date

03/31/2006

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006