MIRIAN LUZ GOMEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137030

License Status

NOT RENEWED

Business

First Name

MIRIAN

Middle

LUZ

Last Name

GOMEZ

Business Name

MIRIAN LUZ GOMEZ

Original Issue Date

07/03/2001

Effective Date

03/28/2017

Expiration Date

03/31/2018

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/19/2018