DENNIS W GORMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187308

License Status

NOT RENEWED

Business

First Name

DENNIS

Middle

Last Name

GORMAN

Prefix

Business Name

DENNIS W GORMAN

Original Issue Date

09/24/2008

Effective Date

02/09/2010

Expiration Date

03/31/2011

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/12/2011