DIANE J SIMON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077289

License Status

NOT RENEWED

Business

First Name

DIANE J

Last Name

SIMON

Business Name

DIANE J SIMON

Original Issue Date

10/31/1982

Effective Date

10/31/1982

Expiration Date

03/31/1984

City

WHEELING

State

Zip

60090

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005