RAPHAEL ANTONIO AMOA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265080

License Status

NOT RENEWED

Business

First Name

RAPHAEL

Middle

ANTONIO

Last Name

AMOA

Business Name

RAPHAEL ANTONIO AMOA

Original Issue Date

05/03/2019

Effective Date

01/14/2020

Expiration Date

03/31/2021

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

07/20/2021