MYLA Q GONZALEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151885

License Status

NOT RENEWED

Business

First Name

MYLA

Middle

Last Name

GONZALEZ

Business Name

MYLA Q GONZALEZ

Original Issue Date

10/28/2003

Effective Date

10/28/2003

Expiration Date

03/31/2005

City

FRANKLIN PARK

State

Zip

60131

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005