FAYE THERESE P GAMBOA OD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155709

License Status

NOT RENEWED

Business

Title

First Name

FAYE THERESE

Middle

Last Name

GAMBOA

Business Name

FAYE THERESE P GAMBOA OD

Original Issue Date

06/24/2004

Effective Date

01/26/2009

Expiration Date

03/31/2010

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010