DIANE KAY GORTER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155573

License Status

INACTIVE

Business

First Name

DIANE

Middle

KAY

Last Name

GORTER

Business Name

DIANE KAY GORTER

Original Issue Date

06/22/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60616

Ever Disciplined

LastModifiedDate

01/06/2009