GERRY GOMEZ DELIVA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173895

License Status

NOT RENEWED

Business

First Name

GERRY

Middle

GOMEZ

Last Name

DELIVA

Business Name

GERRY GOMEZ DELIVA

Original Issue Date

01/25/2007

Effective Date

01/25/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008