DIANA M IVERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108442

License Status

NOT RENEWED

Business

First Name

DIANA M

Last Name

IVERSEN

Business Name

DIANA M IVERSEN

Original Issue Date

10/13/1994

Effective Date

03/14/2011

Expiration Date

03/31/2012

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012