DIANE M CARLSON - Pharmacist License in Illinois | # 049072218

DIANE M CARLSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072218

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005