DIANE C MADEJ Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069474

License Status

CANCELLED

Business

First Name

DIANE C

Last Name

MADEJ

Business Name

DIANE C MADEJ

Original Issue Date

06/02/1978

Effective Date

06/02/1978

Expiration Date

03/31/1982

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005