ROBERTO G LARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102017

License Status

NOT RENEWED

Business

First Name

ROBERTO G

Last Name

LARA

Business Name

ROBERTO G LARA

Original Issue Date

12/18/1992

Effective Date

12/18/1992

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005