DIANE M BRANNAGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179615

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

BRANNAGAN

Business Name

DIANE M BRANNAGAN

Original Issue Date

09/30/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009