LAURIE A PENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082485

License Status

NOT RENEWED

Business

First Name

LAURIE A

Last Name

PENA

Business Name

LAURIE A PENA

Original Issue Date

04/28/1986

Effective Date

04/28/1986

Expiration Date

03/31/1989

City

LAKEMOOR

State

Zip

60051

Ever Disciplined

LastModifiedDate

10/17/2005