SUSAN E GAMBINO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126210

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

GAMBINO

Business Name

SUSAN E GAMBINO

Original Issue Date

06/07/1999

Effective Date

06/07/1999

Expiration Date

03/31/2005

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005