DIANE L DORN - Pharmacist License in Illinois | # 049092419

DIANE L DORN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092419

License Status

NOT RENEWED

Business

N

First Name

DIANE L

Last Name

DORN

Business Name

DIANE L DORN

Original Issue Date

03/02/1990

Effective Date

02/13/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2015