JOHANNA MAE GAMBOA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267670

License Status

NOT RENEWED

Business

First Name

JOHANNA

Middle

MAE

Last Name

GAMBOA

Business Name

JOHANNA MAE GAMBOA

Original Issue Date

09/03/2019

Effective Date

09/03/2019

Expiration Date

09/30/2020

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021