RUSSELL GWYNFOR GAPE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032698

License Status

NOT RENEWED

Business

First Name

RUSSELL GWYNFOR

Last Name

GAPE

Business Name

RUSSELL GWYNFOR GAPE

Original Issue Date

05/14/1979

Effective Date

05/14/1979

Expiration Date

03/31/1990

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005