DIANE L DUPEROW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151861

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

DUPEROW

Business Name

DIANE L DUPEROW

Original Issue Date

10/24/2003

Effective Date

03/16/2017

Expiration Date

03/31/2018

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

06/19/2018