SHANE A GOGANTHOMAS - Pharmacist License in Illinois | # 049238748

SHANE A GOGANTHOMAS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238748

License Status

NOT RENEWED

Business

N

First Name

SHANE

Middle

A

Last Name

GOGANTHOMAS

Prefix

MR

Business Name

SHANE A GOGANTHOMAS

Original Issue Date

01/07/2016

Effective Date

03/31/2017

Expiration Date

03/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/19/2018