Dianne Gerise Polk
ExpiredIllinois license 049109804
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049109804
- Status
- Expired (Not Renewed)
- First issued
- March 13, 1995
- Expired
- March 31, 1998
- License holder
- Dianne Gerise Polk
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/13/1995
Contact
Rockford, IL 61114
Winnebago County