DAVIANA F CROWDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049279614

License Status

NOT RENEWED

Business

First Name

DAVIANA

Middle

Last Name

CROWDER

Business Name

DAVIANA F CROWDER

Original Issue Date

02/18/2021

Effective Date

02/18/2021

Expiration Date

05/31/2022

City

HILLSIDE

State

Zip

60162

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022