DIANA AVITIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209345

License Status

NOT RENEWED

Business

First Name

DIANA

Last Name

AVITIA

Prefix

Business Name

DIANA AVITIA

Original Issue Date

02/23/2012

Effective Date

03/05/2013

Expiration Date

03/31/2014

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/06/2014