GABRIELLA MICHELLE LOPEZ PRUSIA Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263875

License Status

ACTIVE

Business

First Name

GABRIELLA

Middle

MICHELLE

Last Name

LOPEZ PRUSIA

Business Name

GABRIELLA MICHELLE LOPEZ PRUSIA

Original Issue Date

04/02/2019

Effective Date

03/17/2026

Expiration Date

03/31/2027

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/17/2026