GABRIEL MIGUEL MORENO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201259

License Status

NOT RENEWED

Business

First Name

GABRIEL

Middle

MIGUEL

Last Name

MORENO

Business Name

GABRIEL MIGUEL MORENO

Original Issue Date

10/27/2010

Effective Date

02/08/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012