Pharmacist
PHARMACY TECHNICIAN
049294656
NOT RENEWED
N
DIANNA
BUSTAMANTEZ
DIANNA BUSTAMANTEZ
08/04/2022
04/16/2024
03/31/2025
CHICAGO
IL
60629
COOK
Y
07/08/2025
2024010355
Suspension
01/20/2025
Failure to file and/or pay Illinois state income taxes.