SAMUEL M GONZALES - Pharmacist License in Illinois | # 049120399

SAMUEL M GONZALES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120399

License Status

NOT RENEWED

Business

N

First Name

SAMUEL

Middle

M

Last Name

GONZALES

Business Name

SAMUEL M GONZALES

Original Issue Date

03/30/1998

Effective Date

03/30/1998

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005