DIANE VASICA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059382

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

VASICA

Business Name

DIANE VASICA

Original Issue Date

04/13/1973

Effective Date

04/13/1973

Expiration Date

03/31/1984

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005