DIANE L VITOUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086906

License Status

NOT RENEWED

Business

First Name

DIANE L

Last Name

VITOUS

Business Name

DIANE L VITOUS

Original Issue Date

06/07/1988

Effective Date

06/07/1988

Expiration Date

03/31/1990

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005