JOSE LUIS PENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069120

License Status

NOT RENEWED

Business

First Name

JOSE LUIS

Last Name

PENA

Business Name

JOSE LUIS PENA

Original Issue Date

04/07/1978

Effective Date

04/07/1978

Expiration Date

03/31/1996

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005