DIANE LYNN MISTAKOVICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134289

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

LYNN

Last Name

MISTAKOVICH

Business Name

DIANE LYNN MISTAKOVICH

Original Issue Date

01/05/2001

Effective Date

01/05/2001

Expiration Date

03/31/2006

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2006