CLARK A GOMES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115792

License Status

NOT RENEWED

Business

First Name

CLARK

Middle

Last Name

GOMES

Business Name

CLARK A GOMES

Original Issue Date

10/30/1996

Effective Date

10/30/1996

Expiration Date

03/31/1997

City

MONTGOMERY

State

Zip

60538

County

KENDALL

Ever Disciplined

LastModifiedDate

10/17/2005