MADELYN LARA - Pharmacist License in Illinois | # 049121855

MADELYN LARA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121855

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005