DIANE MAULDIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278598

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

MAULDIN

Business Name

DIANE MAULDIN

Original Issue Date

01/11/2021

Effective Date

02/23/2022

Expiration Date

03/31/2023

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2023