THOMAS S GORDON IV Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177185

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

GORDON

Suffix

Business Name

THOMAS S GORDON IV

Original Issue Date

06/18/2007

Effective Date

02/14/2012

Expiration Date

03/31/2013

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2013