DANE DORAS BISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256912

License Status

NOT RENEWED

Business

First Name

DANE

Middle

DORAS

Last Name

BISTA

Business Name

DANE DORAS BISTA

Original Issue Date

03/21/2018

Effective Date

02/20/2019

Expiration Date

09/30/2020

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/08/2021