SALLY M GONZALEZ - Pharmacist License in Illinois | # 049101439

SALLY M GONZALEZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101439

License Status

NOT RENEWED

Business

N

First Name

SALLY

Middle

M

Last Name

GONZALEZ

Business Name

SALLY M GONZALEZ

Original Issue Date

10/06/1992

Effective Date

10/06/1992

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005