DIANE YVONNE KLOTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116327

License Status

NOT RENEWED

Business

First Name

DIANE YVONNE

Last Name

KLOTZ

Business Name

DIANE YVONNE KLOTZ

Original Issue Date

01/28/1997

Effective Date

01/28/1997

Expiration Date

03/31/2006

City

WATERMAN

State

Zip

60556

County

DEKALB

Ever Disciplined

LastModifiedDate

05/11/2006