DIANNE M GALLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158581

License Status

NOT RENEWED

Business

First Name

DIANNE

Middle

Last Name

GALLO

Business Name

DIANNE M GALLO

Original Issue Date

12/23/2004

Effective Date

02/27/2014

Expiration Date

03/31/2015

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2015