JENNAEL ANNE LARUE LASTRELLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288633

License Status

NOT RENEWED

Business

First Name

JENNAEL

Middle

ANNE

Last Name

LARUE LASTRELLA

Business Name

JENNAEL ANNE LARUE LASTRELLA

Original Issue Date

12/06/2021

Effective Date

12/06/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60644

County

ADAMS

Ever Disciplined

LastModifiedDate

07/27/2022