MARTHA A GUMMERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165677

License Status

NOT RENEWED

Business

First Name

MARTHA

Middle

Last Name

GUMMERSON

Business Name

MARTHA A GUMMERSON

Original Issue Date

12/16/2005

Effective Date

12/16/2005

Expiration Date

03/31/2006

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/11/2006