HAZEL L GOMEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194672

License Status

NOT RENEWED

Business

First Name

HAZEL

Middle

Last Name

GOMEZ

Prefix

Business Name

HAZEL L GOMEZ

Original Issue Date

10/06/2009

Effective Date

10/06/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010