DA NISHA LATRICE GAUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177795

License Status

NOT RENEWED

Business

First Name

DA NISHA

Middle

LATRICE

Last Name

GAUSE

Business Name

DA NISHA LATRICE GAUSE

Original Issue Date

07/13/2007

Effective Date

04/13/2011

Expiration Date

03/31/2012

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

05/07/2012