Last Updated: 12/28/2024 5:21:34 AM
Pharmacist Detail
Name |
LATRECE KIM GORHAM |
Type |
Doctor of Pharmacy |
Number |
7147 |
Class |
Senior Inactive |
City, State, Zip |
LINDEN,WA 98264 |
Status |
CANCELED |
Issue Date |
06/20/1963 |
Renewed Date |
07/09/2019 |
Expire Date |
07/31/2020 |
End Date |
09/01/2020 |
Preceptor? |
No |
Immunization? |
No |
Disciplinary
Action
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Case Date | Case Number |
No Disciplinary Action | |