DIANE E BERARDI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254370

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

BERARDI

Business Name

DIANE E BERARDI

Original Issue Date

11/28/2017

Effective Date

11/28/2017

Expiration Date

03/31/2018

City

MARQUETTE HEIGHTS

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/19/2018