DIANA F BUSTAMI - Pharmacist License in Illinois | # 049151712

DIANA F BUSTAMI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151712

License Status

NOT RENEWED

Business

N

First Name

DIANA

Middle

F

Last Name

BUSTAMI

Business Name

DIANA F BUSTAMI

Original Issue Date

10/17/2003

Effective Date

10/17/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005