DIANNE L DAVIDSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062602

License Status

NOT RENEWED

Business

First Name

DIANNE L

Last Name

DAVIDSON

Business Name

DIANNE L DAVIDSON

Original Issue Date

11/22/1974

Effective Date

11/22/1974

Expiration Date

01/01/1997

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005