GERRIE S DORN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171803

License Status

NOT RENEWED

Business

First Name

GERRIE

Middle

Last Name

DORN

Business Name

GERRIE S DORN

Original Issue Date

10/05/2006

Effective Date

10/05/2006

Expiration Date

03/31/2007

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

05/14/2007