BARBARA GOUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146310

License Status

NOT RENEWED

Business

First Name

BARBARA

Last Name

GOUGH

Business Name

BARBARA GOUGH

Original Issue Date

12/11/2002

Effective Date

12/11/2002

Expiration Date

03/31/2005

City

FORT WAYNE

State

Zip

46845

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005