STEPHANIE L DIVITA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201462

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

DIVITA

Prefix

Business Name

STEPHANIE L DIVITA

Original Issue Date

11/09/2010

Effective Date

12/03/2012

Expiration Date

03/31/2013

City

SHOREWOOD

State

Zip

60404

County

WILL

Ever Disciplined

LastModifiedDate

05/06/2013