DIANE E KOLLATH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181299

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

KOLLATH

Business Name

DIANE E KOLLATH

Original Issue Date

12/27/2007

Effective Date

01/31/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012