EDWARD LARA - Pharmacist License in Illinois | # 049121547

EDWARD LARA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121547

License Status

NOT RENEWED

Business

N

First Name

EDWARD

Last Name

LARA

Business Name

EDWARD LARA

Original Issue Date

06/15/1998

Effective Date

06/15/1998

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005