DIANA MEDINA - Pharmacist License in Illinois | # 049170147

DIANA MEDINA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170147

License Status

NOT RENEWED

Business

N

First Name

DIANA

Last Name

MEDINA

Business Name

DIANA MEDINA

Original Issue Date

07/21/2006

Effective Date

07/21/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

07/21/2006