ALFONSO GEOVANNI GOMEZ MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185891

License Status

NOT RENEWED

Business

Title

First Name

ALFONSO

Middle

GEOVANNI

Last Name

GOMEZ

Business Name

ALFONSO GEOVANNI GOMEZ MD

Original Issue Date

07/31/2008

Effective Date

07/31/2008

Expiration Date

03/31/2009

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2009