RICHARD A PENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147463

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

PENA

Business Name

RICHARD A PENA

Original Issue Date

03/17/2003

Effective Date

03/17/2003

Expiration Date

03/31/2004

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/20/2005