CRYSTALOREN GOMEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215006

License Status

NOT RENEWED

Business

First Name

CRYSTALOREN

Last Name

GOMEZ

Prefix

Business Name

CRYSTALOREN GOMEZ

Original Issue Date

12/13/2012

Effective Date

12/13/2012

Expiration Date

03/31/2013

City

LAKESIDE

State

Zip

92040

Ever Disciplined

LastModifiedDate

05/06/2013