Dianne O Fonseca
ExpiredIllinois license 049126562
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049126562
- Status
- Expired (Not Renewed)
- First issued
- June 29, 1999
- Expired
- March 31, 2014
- License holder
- Dianne O Fonseca
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/26/2013
Contact
Berwyn, IL 60402
Cook County