FABIAN LARA - Pharmacist License in Illinois | # 049272649

FABIAN LARA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049272649

License Status

NOT RENEWED

Business

N

First Name

FABIAN

Last Name

LARA

Business Name

FABIAN LARA

Original Issue Date

04/14/2020

Effective Date

04/14/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021