DIANA AVITIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237516

License Status

NOT RENEWED

Business

First Name

DIANA

Last Name

AVITIA

Prefix

Business Name

DIANA AVITIA

Original Issue Date

11/06/2015

Effective Date

04/18/2016

Expiration Date

03/31/2017

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Ever Disciplined

LastModifiedDate

05/10/2017