DAIVA PURIENE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146366

License Status

NOT RENEWED

Business

First Name

DAIVA

Last Name

PURIENE

Business Name

DAIVA PURIENE

Original Issue Date

12/13/2002

Effective Date

03/08/2010

Expiration Date

03/31/2011

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011