DIANE LYNN MARTIN - Pharmacist License in Illinois | # 049061071

DIANE LYNN MARTIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061071

License Status

NOT RENEWED

Business

N

First Name

DIANE LYNN

Last Name

MARTIN

Business Name

DIANE LYNN MARTIN

Original Issue Date

03/01/1974

Effective Date

03/01/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005