PHILIP THOMAS GORZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155908

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

THOMAS

Last Name

GORZ

Business Name

PHILIP THOMAS GORZ

Original Issue Date

07/01/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

DETROIT LAKES

State

Zip

56501

Ever Disciplined

LastModifiedDate

05/06/2009