MARK J LARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153486

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

LARA

Business Name

MARK J LARA

Original Issue Date

03/08/2004

Effective Date

02/19/2013

Expiration Date

03/31/2014

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2014

Case Number

2009002867

Action

Suspension

Discipline Start Date

05/26/2009

Discipline End Date

04/28/2010

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax release received from Department of Revenue.