SANDRA LEE LARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138378

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

LEE

Last Name

LARA

Business Name

SANDRA LEE LARA

Original Issue Date

09/21/2001

Effective Date

09/06/2019

Expiration Date

09/30/2020

City

WICKLIFFE

State

Zip

42087

Ever Disciplined

LastModifiedDate

01/08/2021