DIANE C BRINSKELLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110631

License Status

NOT RENEWED

Business

First Name

DIANE C

Last Name

BRINSKELLE

Business Name

DIANE C BRINSKELLE

Original Issue Date

05/25/1995

Effective Date

05/25/1995

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005