DIANA PEREZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164361

License Status

NOT RENEWED

Business

First Name

DIANA

Last Name

PEREZ

Business Name

DIANA PEREZ

Original Issue Date

10/04/2005

Effective Date

10/04/2005

Expiration Date

03/31/2006

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2006