SAMUEL RAY GONZALEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258577

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

RAY

Last Name

GONZALEZ

Business Name

SAMUEL RAY GONZALEZ

Original Issue Date

06/19/2018

Effective Date

06/19/2018

Expiration Date

03/31/2019

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

07/15/2019