BERND W GOGOL RPH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032874

License Status

INACTIVE

Business

First Name

BERND

Middle

Last Name

GOGOL

Suffix

RPH

Business Name

BERND W GOGOL RPH

Original Issue Date

08/07/1979

Effective Date

08/07/1979

Expiration Date

03/31/1994

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1991007025

Action

Suspension

Discipline Start Date

03/15/1992

Discipline End Date

09/21/1992

Discipline Reason

Dependency on controlled substances, including Tylenol with Codeine.