DANIELA MICHELLE BUSTAMANTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171940

License Status

NOT RENEWED

Business

First Name

DANIELA

Middle

MICHELLE

Last Name

BUSTAMANTE

Business Name

DANIELA MICHELLE BUSTAMANTE

Original Issue Date

10/17/2006

Effective Date

01/21/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021