DIANE E KOLLATH - Pharmacist License in Illinois | # 049181299

DIANE E KOLLATH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181299

License Status

NOT RENEWED

Business

N

First Name

DIANE

Middle

E

Last Name

KOLLATH

Business Name

DIANE E KOLLATH

Original Issue Date

12/27/2007

Effective Date

01/31/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012