DIANA BOLANOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127503

License Status

NOT RENEWED

Business

First Name

DIANA

Last Name

BOLANOS

Business Name

DIANA BOLANOS

Original Issue Date

09/20/1999

Effective Date

09/20/1999

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006