ROSE MARIE PENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121049

License Status

NOT RENEWED

Business

First Name

ROSE

Middle

MARIE

Last Name

PENA

Business Name

ROSE MARIE PENA

Original Issue Date

05/19/1998

Effective Date

05/19/1998

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005