LORNA DINA E PROVIDO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053403

License Status

NOT RENEWED

Business

First Name

LORNA DINA

Middle

Last Name

PROVIDO

Business Name

LORNA DINA E PROVIDO

Original Issue Date

01/01/1997

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005