BLAINE GOOCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191975

License Status

NOT RENEWED

Business

First Name

BLAINE

Last Name

GOOCH

Prefix

Business Name

BLAINE GOOCH

Original Issue Date

05/27/2009

Effective Date

02/20/2013

Expiration Date

03/31/2014

City

PALOS HILLS

State

Zip

60465

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014