TARA LYNN PERONA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118302

License Status

NOT RENEWED

Business

First Name

TARA

Middle

LYNN

Last Name

PERONA

Business Name

TARA LYNN PERONA

Original Issue Date

07/29/1997

Effective Date

07/29/1997

Expiration Date

03/31/1999

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005