DAVID LEE GORTAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049055293

License Status

NOT RENEWED

Business

First Name

DAVID LEE

Last Name

GORTAT

Business Name

DAVID LEE GORTAT

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

HAMMOND

State

Zip

46323

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005