ADILENE M GOMEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205833

License Status

NOT RENEWED

Business

First Name

ADILENE

Middle

Last Name

GOMEZ

Business Name

ADILENE M GOMEZ

Original Issue Date

08/05/2011

Effective Date

08/05/2011

Expiration Date

03/31/2012

City

SUMMIT

State

Zip

60501

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012