MIA R GUTIERREZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204420

License Status

NOT RENEWED

Business

First Name

MIA

Middle

Last Name

GUTIERREZ

Business Name

MIA R GUTIERREZ

Original Issue Date

05/26/2011

Effective Date

05/26/2011

Expiration Date

03/31/2012

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

05/07/2012