DIANE M MADSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080275

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

MADSEN

Business Name

DIANE M MADSEN

Original Issue Date

09/24/1984

Effective Date

09/24/1984

Expiration Date

03/31/1986

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005