REVON DANIEL GOUGIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049295715

License Status

NOT RENEWED

Business

First Name

REVON

Middle

DANIEL

Last Name

GOUGIS

Business Name

REVON DANIEL GOUGIS

Original Issue Date

09/09/2022

Effective Date

09/09/2022

Expiration Date

03/31/2023

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/07/2023