ADILENE M GOMEZ - Pharmacist License in Illinois | # 049205833

ADILENE M GOMEZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205833

License Status

NOT RENEWED

Business

N

First Name

ADILENE

Middle

M

Last Name

GOMEZ

Business Name

ADILENE M GOMEZ

Original Issue Date

08/05/2011

Effective Date

08/05/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012