DIANA C DE LA MORA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157562

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

DE LA MORA

Business Name

DIANA C DE LA MORA

Original Issue Date

10/21/2004

Effective Date

03/18/2020

Expiration Date

03/31/2021

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021