DIANE LYNN HENSLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063589

License Status

NOT RENEWED

Business

First Name

DIANE LYNN

Last Name

HENSLEY

Business Name

DIANE LYNN HENSLEY

Original Issue Date

06/06/1975

Effective Date

06/06/1975

Expiration Date

01/01/1997

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005