DIANE L SIEGEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120750

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

SIEGEL

Business Name

DIANE L SIEGEL

Original Issue Date

04/23/1998

Effective Date

03/09/2015

Expiration Date

03/31/2016

City

CHANNAHON

State

Zip

60410

County

WILL

Ever Disciplined

LastModifiedDate

05/20/2016