JASON A GOMEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137555

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

GOMEZ

Business Name

JASON A GOMEZ

Original Issue Date

08/08/2001

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008