DIANE ELIZABETH AMUNDSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064846

License Status

NOT RENEWED

Business

First Name

DIANE ELIZABETH

Last Name

AMUNDSON

Business Name

DIANE ELIZABETH AMUNDSON

Original Issue Date

02/13/1976

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007