DIANNE AGNES LUP RENGREN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067612

License Status

NOT RENEWED

Business

First Name

DIANNE AGNES LUP

Last Name

RENGREN

Business Name

DIANNE AGNES LUP RENGREN

Original Issue Date

06/24/1977

Effective Date

06/24/1977

Expiration Date

01/01/1997

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005