HENRY JOSEPH LARA - Pharmacist License in Illinois | # 049072085

HENRY JOSEPH LARA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072085

License Status

NOT RENEWED

Business

N

First Name

HENRY JOSEPH

Last Name

LARA

Business Name

HENRY JOSEPH LARA

Original Issue Date

11/01/1979

Effective Date

11/01/1979

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005