PATRICIA PENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143878

License Status

NOT RENEWED

Business

First Name

PATRICIA

Last Name

PENA

Business Name

PATRICIA PENA

Original Issue Date

07/29/2002

Effective Date

07/29/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005