DIANE M ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069717

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

ANDERSON

Business Name

DIANE M ANDERSON

Original Issue Date

07/14/1978

Effective Date

07/14/1978

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005