ANDREA M GOMEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171569

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

GOMEZ

Business Name

ANDREA M GOMEZ

Original Issue Date

09/22/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

BYRON

State

Zip

61010

County

OGLE

Ever Disciplined

LastModifiedDate

05/02/2008