GWEN J WOMACK - Pharmacist License in Illinois | # 049201581

GWEN J WOMACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201581

License Status

NOT RENEWED

Business

N

First Name

GWEN

Middle

J

Last Name

WOMACK

Prefix

MR

Business Name

GWEN J WOMACK

Original Issue Date

11/16/2010

Effective Date

01/31/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013