DIANE M NOVAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189509

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

NOVAK

Prefix

Business Name

DIANE M NOVAK

Original Issue Date

02/05/2009

Effective Date

01/20/2012

Expiration Date

03/31/2013

City

POSEN

State

Zip

60469

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013