MAIRA AVALOS LARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241749

License Status

NOT RENEWED

Business

First Name

MAIRA

Last Name

AVALOS LARA

Business Name

MAIRA AVALOS LARA

Original Issue Date

05/09/2016

Effective Date

05/09/2016

Expiration Date

03/31/2017

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2017