MADELYN LARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121855

License Status

NOT RENEWED

Business

First Name

MADELYN

Last Name

LARA

Business Name

MADELYN LARA

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005