DIVINA C HIMATAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157825

License Status

NOT RENEWED

Business

First Name

DIVINA

Middle

Last Name

HIMATAY

Business Name

DIVINA C HIMATAY

Original Issue Date

11/15/2004

Effective Date

11/15/2004

Expiration Date

03/31/2006

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006