PATRICK GOGNAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212529

License Status

NOT RENEWED

Business

First Name

PATRICK

Last Name

GOGNAT

Prefix

Business Name

PATRICK GOGNAT

Original Issue Date

07/30/2012

Effective Date

01/31/2013

Expiration Date

03/31/2014

City

MT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

05/06/2014