DIANE SUE BONK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036122

License Status

INACTIVE

Business

First Name

DIANE SUE

Last Name

BONK

Business Name

DIANE SUE BONK

Original Issue Date

04/02/1986

Effective Date

01/13/2014

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

01/28/2016