HANNAH TABITHA GONGONA JUVIDA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282035

License Status

NOT RENEWED

Business

First Name

HANNAH TABITHA

Middle

GONGONA

Last Name

JUVIDA

Business Name

HANNAH TABITHA GONGONA JUVIDA

Original Issue Date

05/05/2021

Effective Date

05/05/2021

Expiration Date

05/31/2022

City

TINLEY PARK

State

Zip

60487

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022