GONZALVES NTWALI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252110

License Status

NOT RENEWED

Business

First Name

GONZALVES

Last Name

NTWALI

Business Name

GONZALVES NTWALI

Original Issue Date

08/01/2017

Effective Date

02/02/2021

Expiration Date

05/31/2022

City

WARWICK

State

Zip

02888

Ever Disciplined

LastModifiedDate

07/27/2022