TARA K GORSUCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204139

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

GORSUCH

Business Name

TARA K GORSUCH

Original Issue Date

05/16/2011

Effective Date

03/26/2012

Expiration Date

03/31/2013

City

STILLMAN VALLEY

State

Zip

61084

County

OGLE

Ever Disciplined

LastModifiedDate

05/06/2013