MIA LIN PENNAVARIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182076

License Status

NOT RENEWED

Business

First Name

MIA

Middle

LIN

Last Name

PENNAVARIA

Business Name

MIA LIN PENNAVARIA

Original Issue Date

02/07/2008

Effective Date

03/04/2019

Expiration Date

09/30/2020

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021