MAYRA GAMBOA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201165

License Status

NOT RENEWED

Business

First Name

MAYRA

Last Name

GAMBOA

Business Name

MAYRA GAMBOA

Original Issue Date

10/20/2010

Effective Date

10/20/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011