SAMUEL M GONZALES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120399

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

Last Name

GONZALES

Business Name

SAMUEL M GONZALES

Original Issue Date

03/30/1998

Effective Date

03/30/1998

Expiration Date

03/31/2001

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005