EDGAR PENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245716

License Status

NOT RENEWED

Business

First Name

EDGAR

Last Name

PENA

Business Name

EDGAR PENA

Original Issue Date

10/25/2016

Effective Date

03/20/2017

Expiration Date

03/31/2018

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

06/19/2018