MYRA R SANTA ANA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263811

License Status

NOT RENEWED

Business

First Name

MYRA R

Middle

SANTA

Last Name

ANA

Business Name

MYRA R SANTA ANA

Original Issue Date

03/20/2019

Effective Date

01/10/2020

Expiration Date

03/31/2021

City

OGLESBY

State

Zip

61348

County

ADAMS

Ever Disciplined

LastModifiedDate

07/20/2021