GABRIEL AGUSTIN MORA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049298012

License Status

NOT RENEWED

Business

First Name

GABRIEL

Middle

AGUSTIN

Last Name

MORA

Business Name

GABRIEL AGUSTIN MORA

Original Issue Date

11/28/2022

Effective Date

03/09/2024

Expiration Date

03/31/2025

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

07/08/2025