DIANE LYNN PETKUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073191

License Status

NOT RENEWED

Business

First Name

DIANE LYNN

Last Name

PETKUS

Business Name

DIANE LYNN PETKUS

Original Issue Date

06/27/1980

Effective Date

06/27/1980

Expiration Date

03/31/1986

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005