KESHA DIANE QUAGRAINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134868

License Status

NOT RENEWED

Business

First Name

KESHA

Middle

DIANE

Last Name

QUAGRAINE

Business Name

KESHA DIANE QUAGRAINE

Original Issue Date

03/01/2001

Effective Date

07/13/2011

Expiration Date

03/31/2012

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012