JOSE MIGUEL PENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058855

License Status

NOT RENEWED

Business

First Name

JOSE MIGUEL

Last Name

PENA

Business Name

JOSE MIGUEL PENA

Original Issue Date

12/30/1972

Effective Date

12/30/1972

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005