GWEN J WOMACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201581

License Status

NOT RENEWED

Business

First Name

GWEN

Middle

Last Name

WOMACK

Prefix

Business Name

GWEN J WOMACK

Original Issue Date

11/16/2010

Effective Date

01/31/2012

Expiration Date

03/31/2013

City

PEORIA

State

Zip

61612

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2013