DIANE LYNN SPIALEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058067

License Status

NOT RENEWED

Business

First Name

DIANE LYNN

Last Name

SPIALEK

Business Name

DIANE LYNN SPIALEK

Original Issue Date

07/08/1972

Effective Date

07/08/1972

Expiration Date

01/01/1997

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005