DIANNE C WEITENDORF - Pharmacist License in Illinois | # 049177687

DIANNE C WEITENDORF

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177687

License Status

INACTIVE

Business

N

First Name

DIANNE

Middle

C

Last Name

WEITENDORF

Business Name

DIANNE C WEITENDORF

Original Issue Date

07/10/2007

Effective Date

04/27/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

01/05/2011