OMAR DANIEL PENALOZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258171

License Status

NOT RENEWED

Business

First Name

OMAR

Middle

DANIEL

Last Name

PENALOZA

Business Name

OMAR DANIEL PENALOZA

Original Issue Date

05/24/2018

Effective Date

03/05/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021