HENRY JOSEPH LARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072085

License Status

NOT RENEWED

Business

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

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005