MIRNA E GOMEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125078

License Status

NOT RENEWED

Business

First Name

MIRNA

Middle

Last Name

GOMEZ

Business Name

MIRNA E GOMEZ

Original Issue Date

03/22/1999

Effective Date

04/04/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013