DIANA A LATA - Pharmacist License in Illinois | # 049240397

DIANA A LATA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240397

License Status

NOT RENEWED

Business

N

First Name

DIANA

Middle

A

Last Name

LATA

Business Name

DIANA A LATA

Original Issue Date

03/23/2016

Effective Date

03/23/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017