DIANE M VAN ANTWERP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093215

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

VAN ANTWERP

Business Name

DIANE M VAN ANTWERP

Original Issue Date

09/07/1990

Effective Date

01/22/2019

Expiration Date

09/30/2020

City

WONDER LAKE

State

Zip

60097

County

MCHENRY

Ever Disciplined

LastModifiedDate

01/08/2021