DIANE MICHELLE DEGROOT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129300

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

MICHELLE

Last Name

DEGROOT

Business Name

DIANE MICHELLE DEGROOT

Original Issue Date

02/15/2000

Effective Date

02/15/2000

Expiration Date

03/31/2001

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005