DIANE J ANSELMO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112101

License Status

NOT RENEWED

Business

First Name

DIANE J

Last Name

ANSELMO

Business Name

DIANE J ANSELMO

Original Issue Date

10/14/1995

Effective Date

10/14/1995

Expiration Date

03/31/1996

City

HANOVER PARK

State

Zip

60103

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005