MELBA S GAITAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049230721

License Status

NOT RENEWED

Business

First Name

MELBA

Middle

Last Name

GAITAN

Business Name

MELBA S GAITAN

Original Issue Date

01/22/2015

Effective Date

02/16/2016

Expiration Date

03/31/2017

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2017