NANCY A DIRYAWISH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152823

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

Last Name

DIRYAWISH

Business Name

NANCY A DIRYAWISH

Original Issue Date

01/12/2004

Effective Date

03/07/2012

Expiration Date

03/31/2013

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013