P DIANE VICKERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106126

License Status

NOT RENEWED

Business

First Name

P DIANE

Last Name

VICKERS

Business Name

P DIANE VICKERS

Original Issue Date

03/02/1994

Effective Date

03/28/2019

Expiration Date

09/30/2020

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021