MONE'CA J M GOMEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158480

License Status

NOT RENEWED

Business

First Name

MONE'CA J

Middle

Last Name

GOMEZ

Business Name

MONE'CA J M GOMEZ

Original Issue Date

12/21/2004

Effective Date

12/21/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006