DIANNE MARIE MCKIBBEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290596

License Status

INACTIVE

Business

First Name

DIANNE

Middle

MARIE

Last Name

MCKIBBEN

Business Name

DIANNE MARIE MCKIBBEN

Original Issue Date

07/08/2005

Effective Date

07/08/2005

Expiration Date

03/31/2006

City

PENSACOLA

State

Zip

32507

Ever Disciplined

LastModifiedDate

01/18/2006