ANNA LISA GUMABONG CRUZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108261

License Status

NOT RENEWED

Business

First Name

ANNA LISA

Middle

GUMABONG

Last Name

CRUZ

Business Name

ANNA LISA GUMABONG CRUZ

Original Issue Date

09/26/1994

Effective Date

09/26/1994

Expiration Date

03/31/1999

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005