LEA E DELA PENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119924

License Status

NOT RENEWED

Business

First Name

LEA

Middle

Last Name

DELA PENA

Business Name

LEA E DELA PENA

Original Issue Date

01/26/1998

Effective Date

01/26/1998

Expiration Date

03/31/2002

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005