DIANE SUE STAHNK AMBROSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062487

License Status

NOT RENEWED

Business

First Name

DIANE SUE STAHNK

Last Name

AMBROSE

Business Name

DIANE SUE STAHNK AMBROSE

Original Issue Date

01/01/1997

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/14/2007