DIANE M CARLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079167

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005