DIANE WEATHERALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198836

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

WEATHERALL

Business Name

DIANE WEATHERALL

Original Issue Date

06/11/2010

Effective Date

03/26/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013