DIANE M BUCKNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156005

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

BUCKNER

Business Name

DIANE M BUCKNER

Original Issue Date

07/09/2004

Effective Date

03/22/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

08/03/2018