JENNIFER MARIE DIVITA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171326

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

MARIE

Last Name

DIVITA

Business Name

JENNIFER MARIE DIVITA

Original Issue Date

09/13/2006

Effective Date

02/03/2011

Expiration Date

03/31/2012

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012