ELENA G AYALA LUGO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049279255

License Status

NOT RENEWED

Business

First Name

ELENA

Middle

Last Name

AYALA LUGO

Business Name

ELENA G AYALA LUGO

Original Issue Date

02/05/2021

Effective Date

02/05/2021

Expiration Date

05/31/2022

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/27/2022