DIANE LOUISE BROZEK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063255

License Status

CANCELLED

Business

First Name

DIANE LOUISE

Last Name

BROZEK

Business Name

DIANE LOUISE BROZEK

Original Issue Date

04/11/1975

Effective Date

04/11/1975

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005