DIEDRE BUCHANAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064362

License Status

NOT RENEWED

Business

First Name

DIEDRE

Last Name

BUCHANAN

Business Name

DIEDRE BUCHANAN

Original Issue Date

10/17/1975

Effective Date

10/17/1975

Expiration Date

01/01/1997

City

EAST ST LOUIS

State

Zip

62207

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005