DIANE HAVENS - Pharmacist License in Illinois | # 049059770

DIANE HAVENS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059770

License Status

NOT RENEWED

Business

N

First Name

DIANE

Last Name

HAVENS

Business Name

DIANE HAVENS

Original Issue Date

06/22/1973

Effective Date

06/22/1973

Expiration Date

03/31/1992

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005