STEPHEN GLENN GORE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030980

License Status

INACTIVE

Business

First Name

STEPHEN GLENN

Last Name

GORE

Business Name

STEPHEN GLENN GORE

Original Issue Date

08/06/1976

Effective Date

02/20/2018

Expiration Date

09/30/2020

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

01/04/2020