ANITA ESPINO DIZ QUIAMBAO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030349

License Status

NOT RENEWED

Business

First Name

ANITA ESPINO DIZ

Last Name

QUIAMBAO

Business Name

ANITA ESPINO DIZ QUIAMBAO

Original Issue Date

03/07/1975

Effective Date

04/02/2018

Expiration Date

09/30/2020

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021