HECTOR GAMBA PONFERRADA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169991

License Status

NOT RENEWED

Business

First Name

HECTOR

Middle

GAMBA

Last Name

PONFERRADA

Business Name

HECTOR GAMBA PONFERRADA

Original Issue Date

07/13/2006

Effective Date

03/24/2014

Expiration Date

03/31/2015

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015