DIANNE M WASILAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065455

License Status

NOT RENEWED

Business

First Name

DIANNE M

Last Name

WASILAK

Business Name

DIANNE M WASILAK

Original Issue Date

05/28/1976

Effective Date

05/28/1976

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005