DIANE E DOUGLAS - Pharmacist License in Illinois | # 049062857

DIANE E DOUGLAS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062857

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005