DIANE M NOVAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073764

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

NOVAK

Business Name

DIANE M NOVAK

Original Issue Date

10/17/1980

Effective Date

10/17/1980

Expiration Date

01/01/1997

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005