ANTHONY LARA - Pharmacist License in Illinois | # 049115519

ANTHONY LARA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115519

License Status

NOT RENEWED

Business

N

First Name

ANTHONY

Last Name

LARA

Business Name

ANTHONY LARA

Original Issue Date

10/10/1996

Effective Date

10/10/1996

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005