DIANE M VONDERHEIDE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086210

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

VONDERHEIDE

Business Name

DIANE M VONDERHEIDE

Original Issue Date

03/19/1988

Effective Date

04/01/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016