DIANE C BALSAMO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084106

License Status

NOT RENEWED

Business

First Name

DIANE C

Last Name

BALSAMO

Business Name

DIANE C BALSAMO

Original Issue Date

04/03/1987

Effective Date

04/03/1987

Expiration Date

03/31/1991

City

TAMPA

State

Zip

33647

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1988002497

Action

Probation

Discipline Start Date

01/20/1989

Discipline End Date

01/20/1990