DIANE NELSON - Pharmacist License in Illinois | # 049124482

DIANE NELSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124482

License Status

NOT RENEWED

Business

N

First Name

DIANE

Last Name

NELSON

Business Name

DIANE NELSON

Original Issue Date

01/20/1999

Effective Date

01/20/1999

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005