ANTHONY LARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115519

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005