KENNETH W GOGOL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176123

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

GOGOL

Business Name

KENNETH W GOGOL

Original Issue Date

05/03/2007

Effective Date

02/02/2016

Expiration Date

03/31/2017

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017