RAFAELINA A GOMEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191207

License Status

NOT RENEWED

Business

First Name

RAFAELINA

Middle

Last Name

GOMEZ

Business Name

RAFAELINA A GOMEZ

Original Issue Date

04/21/2009

Effective Date

02/15/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012