GLEN JEREMY GOULD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194753

License Status

NOT RENEWED

Business

First Name

GLEN

Middle

JEREMY

Last Name

GOULD

Business Name

GLEN JEREMY GOULD

Original Issue Date

10/13/2009

Effective Date

10/13/2009

Expiration Date

03/31/2010

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/04/2010