JENNIFER J GAUTAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182899

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

GAUTAM

Prefix

Business Name

JENNIFER J GAUTAM

Original Issue Date

03/19/2008

Effective Date

02/09/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60611

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2017