JUSTIN JAMES GOURLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185489

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

JAMES

Last Name

GOURLEY

Business Name

JUSTIN JAMES GOURLEY

Original Issue Date

07/14/2008

Effective Date

01/06/2009

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010