DIANE K CARROLL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109894

License Status

NOT RENEWED

Business

First Name

DIANE K

Last Name

CARROLL

Business Name

DIANE K CARROLL

Original Issue Date

03/28/1995

Effective Date

03/28/1995

Expiration Date

03/31/1997

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005