SAMUEL LARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192955

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

LARA

Business Name

SAMUEL LARA

Original Issue Date

07/13/2009

Effective Date

02/04/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014