DIANE E DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062857

License Status

NOT RENEWED

Business

First Name

DIANE E

Last Name

DOUGLAS

Business Name

DIANE E DOUGLAS

Original Issue Date

01/31/1975

Effective Date

01/31/1975

Expiration Date

03/31/1982

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005