DIANE AURORE TAKOUAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198992

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

AURORE

Last Name

TAKOUAM

Prefix

Business Name

DIANE AURORE TAKOUAM

Original Issue Date

06/18/2010

Effective Date

03/08/2017

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60612

Ever Disciplined

LastModifiedDate

06/19/2018