DIANE V CONRAD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190874

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

CONRAD

Business Name

DIANE V CONRAD

Original Issue Date

04/08/2009

Effective Date

04/08/2009

Expiration Date

03/31/2010

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/04/2010