DIANE S KOEHL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154101

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

KOEHL

Business Name

DIANE S KOEHL

Original Issue Date

04/16/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

05/14/2007