DIANE M VERVACK - Pharmacist License in Illinois | # 049160724

DIANE M VERVACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160724

License Status

NOT RENEWED

Business

N

First Name

DIANE

Middle

M

Last Name

VERVACK

Business Name

DIANE M VERVACK

Original Issue Date

05/03/2005

Effective Date

05/03/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006