DIANA I BANUELOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269796

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

BANUELOS

Business Name

DIANA I BANUELOS

Original Issue Date

12/11/2019

Effective Date

02/23/2021

Expiration Date

05/31/2022

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022