KENNETH W GOGOL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051299646

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

GOGOL

Business Name

KENNETH W GOGOL

Original Issue Date

08/01/2016

Effective Date

08/01/2016

Expiration Date

03/31/2018

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018