DIANE L GOSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096809

License Status

NOT RENEWED

Business

First Name

DIANE L

Last Name

GOSS

Business Name

DIANE L GOSS

Original Issue Date

05/07/1991

Effective Date

05/07/1991

Expiration Date

03/31/1992

City

PHOENIX

State

Zip

85018

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/17/2005