MARIE VIVIEN S GONZALES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112867

License Status

NOT RENEWED

Business

First Name

MARIE VIVIEN S

Last Name

GONZALES

Business Name

MARIE VIVIEN S GONZALES

Original Issue Date

12/30/1995

Effective Date

12/30/1995

Expiration Date

03/31/1997

City

PLAINFIELD

State

Zip

60585

Ever Disciplined

LastModifiedDate

10/17/2005