THOMAS H GORMAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029565

License Status

INACTIVE

Business

First Name

THOMAS H

Last Name

GORMAN

Business Name

THOMAS H GORMAN

Original Issue Date

07/27/1973

Effective Date

03/21/2016

Expiration Date

03/31/2018

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/12/2018