DIANE A MEDINA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245474

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

MEDINA

Business Name

DIANE A MEDINA

Original Issue Date

10/18/2016

Effective Date

02/02/2017

Expiration Date

03/31/2018

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Ever Disciplined

LastModifiedDate

06/19/2018