DIANE L GOSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051038572

License Status

NOT RENEWED

Business

First Name

DIANE L

Last Name

GOSS

Business Name

DIANE L GOSS

Original Issue Date

08/18/1991

Effective Date

08/18/1991

Expiration Date

03/31/1996

City

SCOTTSDALE

State

Zip

85251

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/17/2005