DIANA F BUSTAMI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151712

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

BUSTAMI

Business Name

DIANA F BUSTAMI

Original Issue Date

10/17/2003

Effective Date

10/17/2003

Expiration Date

03/31/2004

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005