ANDRIADKIRT REGALA GOPEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049292674

License Status

NOT RENEWED

Business

First Name

ANDRIADKIRT

Middle

REGALA

Last Name

GOPEZ

Business Name

ANDRIADKIRT REGALA GOPEZ

Original Issue Date

05/19/2022

Effective Date

05/19/2022

Expiration Date

03/31/2023

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2023