DIANE M SLAKAITIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065079

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

SLAKAITIS

Business Name

DIANE M SLAKAITIS

Original Issue Date

03/26/1976

Effective Date

03/26/1976

Expiration Date

03/31/1998

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005