TEGAN GOMEZ MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212648

License Status

NOT RENEWED

Business

Title

First Name

TEGAN

Last Name

GOMEZ

Prefix

Business Name

TEGAN GOMEZ MD

Original Issue Date

08/03/2012

Effective Date

08/03/2012

Expiration Date

03/31/2013

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/06/2013