SHANNON RENEE GOUKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201080

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

RENEE

Last Name

GOUKER

Business Name

SHANNON RENEE GOUKER

Original Issue Date

10/15/2010

Effective Date

10/15/2010

Expiration Date

03/31/2011

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011