TIRSO P GAMBOA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157234

License Status

NOT RENEWED

Business

First Name

TIRSO

Middle

Last Name

GAMBOA

Business Name

TIRSO P GAMBOA

Original Issue Date

09/29/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007