DIANE ELAINE DAHM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129034

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

ELAINE

Last Name

DAHM

Business Name

DIANE ELAINE DAHM

Original Issue Date

01/27/2000

Effective Date

03/22/2018

Expiration Date

03/31/2019

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019