BRYAN RUBEN GAMBOA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235330

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

RUBEN

Last Name

GAMBOA

Business Name

BRYAN RUBEN GAMBOA

Original Issue Date

08/07/2015

Effective Date

03/21/2016

Expiration Date

03/31/2017

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/10/2017