SHANTIA MARIE GONZALES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049280264

License Status

NOT RENEWED

Business

First Name

SHANTIA

Middle

MARIE

Last Name

GONZALES

Business Name

SHANTIA MARIE GONZALES

Original Issue Date

03/10/2021

Effective Date

03/10/2021

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022