FERNANDO B GOMEZ III Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148333

License Status

NOT RENEWED

Business

First Name

FERNANDO

Middle

Last Name

GOMEZ

Suffix

III

Business Name

FERNANDO B GOMEZ III

Original Issue Date

04/24/2003

Effective Date

04/24/2003

Expiration Date

03/31/2004

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005