DIANA SANTIVANEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176954

License Status

NOT RENEWED

Business

First Name

DIANA

Last Name

SANTIVANEZ

Business Name

DIANA SANTIVANEZ

Original Issue Date

06/12/2007

Effective Date

04/16/2009

Expiration Date

03/31/2010

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010