RAPH LUIS A GOMEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217577

License Status

NOT RENEWED

Business

First Name

RAPH LUIS

Middle

Last Name

GOMEZ

Prefix

Business Name

RAPH LUIS A GOMEZ

Original Issue Date

04/24/2013

Effective Date

02/03/2014

Expiration Date

03/31/2015

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2015