P DIANE VICKERS - Pharmacist License in Illinois | # 049106126

P DIANE VICKERS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106126

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021