DIANE CONANT MIKA - Pharmacist License in Illinois | # 049138166

DIANE CONANT MIKA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138166

License Status

NOT RENEWED

Business

N

First Name

DIANE

Middle

CONANT

Last Name

MIKA

Business Name

DIANE CONANT MIKA

Original Issue Date

09/12/2001

Effective Date

09/12/2001

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005