DIANE LARAE KISS - Pharmacist License in Iowa | # 049267544

DIANE LARAE KISS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267544

License Status

NOT RENEWED

Business

N

First Name

DIANE

Middle

LARAE

Last Name

KISS

Business Name

DIANE LARAE KISS

Original Issue Date

08/27/2019

Effective Date

03/18/2021

Expiration Date

05/31/2022

State

IA

Ever Disciplined

N

LastModifiedDate

07/27/2022