DIANA J BURKETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073549

License Status

NOT RENEWED

Business

First Name

DIANA J

Last Name

BURKETT

Business Name

DIANA J BURKETT

Original Issue Date

09/05/1980

Effective Date

09/05/1980

Expiration Date

01/01/1997

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005