DIANE K MOCKENHAUPT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105149

License Status

NOT RENEWED

Business

First Name

DIANE K

Last Name

MOCKENHAUPT

Business Name

DIANE K MOCKENHAUPT

Original Issue Date

11/08/1993

Effective Date

11/08/1993

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005