DIANE LYNN MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061071

License Status

NOT RENEWED

Business

First Name

DIANE LYNN

Last Name

MARTIN

Business Name

DIANE LYNN MARTIN

Original Issue Date

03/01/1974

Effective Date

03/01/1974

Expiration Date

01/01/1997

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/17/2005