SANDRA D MAXWELL DIVITO - Pharmacist License in Illinois | # 049064413

SANDRA D MAXWELL DIVITO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064413

License Status

NOT RENEWED

Business

N

First Name

SANDRA D MAXWELL

Last Name

DIVITO

Business Name

SANDRA D MAXWELL DIVITO

Original Issue Date

10/31/1975

Effective Date

10/31/1975

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005