DIANA M MORA - Pharmacist License in Illinois | # 049077264

DIANA M MORA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077264

License Status

NOT RENEWED

Business

N

First Name

DIANA M

Last Name

MORA

Business Name

DIANA M MORA

Original Issue Date

10/31/1982

Effective Date

10/31/1982

Expiration Date

03/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005