DIANA LYNN MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139315

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

LYNN

Last Name

MARTIN

Business Name

DIANA LYNN MARTIN

Original Issue Date

11/26/2001

Effective Date

11/26/2001

Expiration Date

03/31/2005

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005