TERRENCE P GAMBOA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154279

License Status

NOT RENEWED

Business

First Name

TERRENCE

Middle

Last Name

GAMBOA

Business Name

TERRENCE P GAMBOA

Original Issue Date

05/19/2004

Effective Date

01/26/2009

Expiration Date

03/31/2010

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010