REBECCA LARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240766

License Status

NOT RENEWED

Business

First Name

REBECCA

Last Name

LARA

Prefix

Business Name

REBECCA LARA

Original Issue Date

04/05/2016

Effective Date

04/05/2016

Expiration Date

03/31/2017

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/10/2017