JENNIFER CYNTHIA LARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049243787

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

CYNTHIA

Last Name

LARA

Business Name

JENNIFER CYNTHIA LARA

Original Issue Date

08/04/2016

Effective Date

08/04/2016

Expiration Date

03/31/2017

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017