RAFAELINA A GOMEZ - Pharmacist License in Illinois | # 049191207

RAFAELINA A GOMEZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191207

License Status

NOT RENEWED

Business

N

First Name

RAFAELINA

Middle

A

Last Name

GOMEZ

Business Name

RAFAELINA A GOMEZ

Original Issue Date

04/21/2009

Effective Date

02/15/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012