POLLY J GAI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180565

License Status

NOT RENEWED

Business

First Name

POLLY

Middle

Last Name

GAI

Business Name

POLLY J GAI

Original Issue Date

11/16/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/06/2009