DIANA T GOLDMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125351

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

GOLDMAN

Business Name

DIANA T GOLDMAN

Original Issue Date

04/08/1999

Effective Date

04/08/1999

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005