DIANA MANIEV MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163300

License Status

NOT RENEWED

Business

Title

First Name

DIANA

Last Name

MANIEV

Business Name

DIANA MANIEV MD

Original Issue Date

08/29/2005

Effective Date

08/28/2009

Expiration Date

03/31/2010

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010