RAUL ANTHONY PENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163306

License Status

NOT RENEWED

Business

First Name

RAUL

Middle

ANTHONY

Last Name

PENA

Business Name

RAUL ANTHONY PENA

Original Issue Date

08/29/2005

Effective Date

03/15/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013