ELAINE T DIVITA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133872

License Status

NOT RENEWED

Business

First Name

ELAINE

Middle

Last Name

DIVITA

Business Name

ELAINE T DIVITA

Original Issue Date

12/05/2000

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007