DIANE J MOELLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060260

License Status

NOT RENEWED

Business

First Name

DIANE J

Last Name

MOELLER

Business Name

DIANE J MOELLER

Original Issue Date

09/14/1973

Effective Date

09/14/1973

Expiration Date

01/01/1997

City

BARRINGTON

State

Zip

60010

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005