AUGUSTINE DIANA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025326

License Status

INACTIVE

Business

First Name

AUGUSTINE

Last Name

DIANA

Business Name

AUGUSTINE DIANA

Original Issue Date

01/01/1997

Effective Date

02/10/2012

Expiration Date

03/31/2014

City

ITASCA

State

Zip

60143

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/09/2014