RICHARD A GONZAGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228538

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

GONZAGA

Business Name

RICHARD A GONZAGA

Original Issue Date

10/15/2014

Effective Date

10/15/2014

Expiration Date

03/31/2015

City

PINGREE GROVE

State

Zip

60140

County

KANE

Ever Disciplined

LastModifiedDate

05/11/2015