LAURA LEE PENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104512

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

LEE

Last Name

PENA

Business Name

LAURA LEE PENA

Original Issue Date

09/14/1993

Effective Date

09/14/1993

Expiration Date

03/31/1994

City

DAVENPORT

State

Zip

52803

Ever Disciplined

LastModifiedDate

10/17/2005