ELISE J GOMEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235235

License Status

NOT RENEWED

Business

First Name

ELISE

Middle

Last Name

GOMEZ

Business Name

ELISE J GOMEZ

Original Issue Date

08/04/2015

Effective Date

02/25/2016

Expiration Date

03/31/2017

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/10/2017