DIANE SHARON GONZALEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139068

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

SHARON

Last Name

GONZALEZ

Business Name

DIANE SHARON GONZALEZ

Original Issue Date

11/06/2001

Effective Date

11/06/2001

Expiration Date

03/31/2004

City

PARK FORREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005