DIANNE O FONSECA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126562

License Status

NOT RENEWED

Business

First Name

DIANNE

Middle

Last Name

FONSECA

Business Name

DIANNE O FONSECA

Original Issue Date

06/29/1999

Effective Date

03/26/2013

Expiration Date

03/31/2014

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014