SAMUEL GOLLON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176847

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

GOLLON

Business Name

SAMUEL GOLLON

Original Issue Date

06/07/2007

Effective Date

06/07/2007

Expiration Date

03/31/2008

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/02/2008