DIANA L MEDINA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110665

License Status

NOT RENEWED

Business

First Name

DIANA L

Last Name

MEDINA

Business Name

DIANA L MEDINA

Original Issue Date

05/27/1995

Effective Date

05/27/1995

Expiration Date

03/31/1996

City

SKOKIE

State

Zip

60076

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005