DENISE ANN DIVITA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074099

License Status

NOT RENEWED

Business

First Name

DENISE ANN

Last Name

DIVITA

Business Name

DENISE ANN DIVITA

Original Issue Date

01/20/1981

Effective Date

01/20/1981

Expiration Date

03/31/1982

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005