LUIS C DELA PENA - Pharmacist License in Illinois | # 049197315

LUIS C DELA PENA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197315

License Status

NOT RENEWED

Business

N

First Name

LUIS

Middle

C

Last Name

DELA PENA

Business Name

LUIS C DELA PENA

Original Issue Date

03/16/2010

Effective Date

03/16/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011