DIANE K DRAKE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077157

License Status

INACTIVE

Business

First Name

DIANE K

Last Name

DRAKE

Business Name

DIANE K DRAKE

Original Issue Date

10/15/1982

Effective Date

03/09/2010

Expiration Date

03/31/2011

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

01/05/2011