DIANA J CARRASQUILLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112955

License Status

NOT RENEWED

Business

First Name

DIANA J

Last Name

CARRASQUILLO

Business Name

DIANA J CARRASQUILLO

Original Issue Date

01/09/1996

Effective Date

01/09/1996

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006