ADAM DALE GUMMERSHEIMER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196504

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

DALE

Last Name

GUMMERSHEIMER

Business Name

ADAM DALE GUMMERSHEIMER

Original Issue Date

01/28/2010

Effective Date

02/18/2015

Expiration Date

03/31/2016

City

DUPO

State

Zip

62239

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/20/2016