DIANNA ENSIGN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060247

License Status

NOT RENEWED

Business

First Name

DIANNA

Last Name

ENSIGN

Business Name

DIANNA ENSIGN

Original Issue Date

09/14/1973

Effective Date

09/14/1973

Expiration Date

01/01/1997

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005