DIANE VASICA - Pharmacist License in Illinois | # 049059382

DIANE VASICA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059382

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005