DIANE MICHELE PREWITT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117654

License Status

NOT RENEWED

Business

First Name

DIANE MICHELE

Last Name

PREWITT

Business Name

DIANE MICHELE PREWITT

Original Issue Date

05/20/1997

Effective Date

03/18/2015

Expiration Date

03/31/2016

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

05/20/2016