DIANA I BANUELOS - Pharmacist License in Illinois | # 049269796

DIANA I BANUELOS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269796

License Status

NOT RENEWED

Business

N

First Name

DIANA

Middle

I

Last Name

BANUELOS

Business Name

DIANA I BANUELOS

Original Issue Date

12/11/2019

Effective Date

02/23/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022