Pharmacist
PHARMACY TECHNICIAN
049086495
NOT RENEWED
N
DIANE
M
VELCHEK
DIANE M VELCHEK
05/01/1988
03/31/1991
BLOOMINGTON
IL
61701
MCLEAN
Y
10/17/2005
1990004267
Termination
01/03/1991
Submitted a non-bankable remittance to the Department.