INSIYAH GOMBERAWALLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219194

License Status

NOT RENEWED

Business

First Name

INSIYAH

Last Name

GOMBERAWALLA

Prefix

Business Name

INSIYAH GOMBERAWALLA

Original Issue Date

07/06/2013

Effective Date

01/17/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015