KACI D GOCKENBACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210119

License Status

NOT RENEWED

Business

First Name

KACI

Middle

Last Name

GOCKENBACH

Business Name

KACI D GOCKENBACH

Original Issue Date

04/04/2012

Effective Date

03/07/2014

Expiration Date

03/31/2015

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/25/2019