HAZEL L GOMEZ - Pharmacist License in Illinois | # 049194672

HAZEL L GOMEZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194672

License Status

NOT RENEWED

Business

N

First Name

HAZEL

Middle

L

Last Name

GOMEZ

Prefix

MR

Business Name

HAZEL L GOMEZ

Original Issue Date

10/06/2009

Effective Date

10/06/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010