ALYCE R GAGAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197605

License Status

NOT RENEWED

Business

First Name

ALYCE

Middle

Last Name

GAGAIN

Business Name

ALYCE R GAGAIN

Original Issue Date

04/01/2010

Effective Date

03/16/2011

Expiration Date

03/31/2012

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

05/07/2012