DIANA M FORNARIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215336

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

FORNARIS

Prefix

Business Name

DIANA M FORNARIS

Original Issue Date

01/07/2013

Effective Date

01/07/2013

Expiration Date

03/31/2014

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014