DIANE SUSAN PUTNEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068322

License Status

NOT RENEWED

Business

First Name

DIANE SUSAN

Last Name

PUTNEY

Business Name

DIANE SUSAN PUTNEY

Original Issue Date

10/21/1977

Effective Date

10/21/1977

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005