DIANE MARIE MULDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117681

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

MARIE

Last Name

MULDER

Business Name

DIANE MARIE MULDER

Original Issue Date

05/23/1997

Effective Date

05/23/1997

Expiration Date

03/31/1999

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005