DIANA PARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163556

License Status

NOT RENEWED

Business

First Name

DIANA

Last Name

PARK

Business Name

DIANA PARK

Original Issue Date

09/06/2005

Effective Date

02/02/2016

Expiration Date

03/31/2017

City

ROSELLE

State

Zip

60172

Ever Disciplined

LastModifiedDate

05/10/2017