DIANE T STATEMAN - Pharmacist License in Illinois | # 049211835

DIANE T STATEMAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211835

License Status

NOT RENEWED

Business

N

First Name

DIANE

Middle

T

Last Name

STATEMAN

Business Name

DIANE T STATEMAN

Original Issue Date

06/25/2012

Effective Date

01/12/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019