GORDON SCOTT BAILEY Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133997

License Status

INACTIVE

Business

First Name

GORDON

Middle

SCOTT

Last Name

BAILEY

Business Name

GORDON SCOTT BAILEY

Original Issue Date

12/12/2000

Effective Date

03/22/2019

Expiration Date

09/30/2020

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

01/04/2020