DIANE M KOPP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159591

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

KOPP

Business Name

DIANE M KOPP

Original Issue Date

03/17/2005

Effective Date

02/18/2015

Expiration Date

03/31/2016

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

05/20/2016