GWEN ELLEN STRUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162098

License Status

NOT RENEWED

Business

First Name

GWEN

Middle

ELLEN

Last Name

STRUM

Business Name

GWEN ELLEN STRUM

Original Issue Date

07/06/2005

Effective Date

03/13/2008

Expiration Date

03/31/2009

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

05/06/2009