DIANE M MONTERASTELLI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060105

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

MONTERASTELLI

Business Name

DIANE M MONTERASTELLI

Original Issue Date

08/17/1973

Effective Date

08/17/1973

Expiration Date

03/31/1989

City

TRIVOLI

State

Zip

61569

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005