MARVIN DAVID PENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049293556

License Status

NOT RENEWED

Business

First Name

MARVIN

Middle

DAVID

Last Name

PENA

Business Name

MARVIN DAVID PENA

Original Issue Date

06/24/2022

Effective Date

06/24/2022

Expiration Date

03/31/2023

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

09/07/2023