NATALIE RAE PENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128576

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

RAE

Last Name

PENA

Business Name

NATALIE RAE PENA

Original Issue Date

12/14/1999

Effective Date

12/14/1999

Expiration Date

03/31/2001

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/21/2005