STEPHANIE L DIVITA - Pharmacist License in Illinois | # 049201462

STEPHANIE L DIVITA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201462

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE

Middle

L

Last Name

DIVITA

Prefix

MR

Business Name

STEPHANIE L DIVITA

Original Issue Date

11/09/2010

Effective Date

12/03/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013