MARIAH L GONZALEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260561

License Status

NOT RENEWED

Business

First Name

MARIAH

Middle

Last Name

GONZALEZ

Business Name

MARIAH L GONZALEZ

Original Issue Date

10/10/2018

Effective Date

10/10/2018

Expiration Date

03/31/2019

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/15/2019