JUAN PABLO LOPEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049287660

License Status

NOT RENEWED

Business

First Name

JUAN

Middle

PABLO

Last Name

LOPEZ

Business Name

JUAN PABLO LOPEZ

Original Issue Date

11/05/2021

Effective Date

11/05/2021

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022