FABIAN LARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049272649

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021