JOSE LASTRA - Pharmacist License in Illinois | # 049061091

JOSE LASTRA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061091

License Status

NOT RENEWED

Business

N

First Name

JOSE

Last Name

LASTRA

Business Name

JOSE LASTRA

Original Issue Date

03/01/1974

Effective Date

03/01/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005