DIANA M MORA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077264

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005