DIANA A BOULOS - Pharmacist License in Illinois | # 049294967

DIANA A BOULOS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049294967

License Status

NOT RENEWED

Business

N

First Name

DIANA

Middle

A

Last Name

BOULOS

Business Name

DIANA A BOULOS

Original Issue Date

08/12/2022

Effective Date

03/28/2024

Expiration Date

03/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

07/08/2025