DIANE CONANT MIKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138166

License Status

NOT RENEWED

Business

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

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

12/06/2005