ROSA E GOMEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236600

License Status

NOT RENEWED

Business

First Name

ROSA

Middle

Last Name

GOMEZ

Business Name

ROSA E GOMEZ

Original Issue Date

10/01/2015

Effective Date

03/14/2017

Expiration Date

03/31/2018

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/19/2018