JUAN EDGAR LARA - Pharmacist License in Illinois | # 049255762

JUAN EDGAR LARA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255762

License Status

NOT RENEWED

Business

N

First Name

JUAN

Middle

EDGAR

Last Name

LARA

Business Name

JUAN EDGAR LARA

Original Issue Date

01/25/2018

Effective Date

01/25/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019