DIANE L ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069716

License Status

NOT RENEWED

Business

First Name

DIANE L

Last Name

ANDERSON

Business Name

DIANE L ANDERSON

Original Issue Date

07/14/1978

Effective Date

07/14/1978

Expiration Date

01/01/1997

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005