JOHANNA MAE GAMBOA - Pharmacist License in Illinois | # 049267670

JOHANNA MAE GAMBOA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267670

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021