LISETTE K GAMBOA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203834

License Status

NOT RENEWED

Business

First Name

LISETTE

Middle

Last Name

GAMBOA

Prefix

Business Name

LISETTE K GAMBOA

Original Issue Date

04/25/2011

Effective Date

04/25/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012