DIANE M CARLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072218

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

CARLSON

Business Name

DIANE M CARLSON

Original Issue Date

12/10/1979

Effective Date

12/10/1979

Expiration Date

03/31/1984

City

MELROSE PARK

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005