DIANA A LATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240397

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

LATA

Business Name

DIANA A LATA

Original Issue Date

03/23/2016

Effective Date

03/23/2016

Expiration Date

03/31/2017

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017