Diane Polenisiak

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

049071008

Status

Expired (Not Renewed)

First issued

April 13, 1979

Expired

January 1, 1997

License holder

Diane Polenisiak

Entity type

Individual

Classifications

• Pharmacy Technician Pharmacy

More from the license record

Current term began

04/13/1979

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