ROBERTO G LARA - Pharmacist License in Illinois | # 049102017

ROBERTO G LARA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102017

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005