DIANE M CARLSON - Pharmacist License in Illinois | # 049079167

DIANE M CARLSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079167

License Status

NOT RENEWED

Business

N

First Name

DIANE M

Last Name

CARLSON

Business Name

DIANE M CARLSON

Original Issue Date

11/03/1983

Effective Date

11/03/1983

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005