MARK DIWA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049303753

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

DIWA

Business Name

MARK DIWA

Original Issue Date

07/06/2023

Effective Date

07/06/2023

Expiration Date

03/31/2024

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

01/03/2025