PAMELA DIANA WARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070127

License Status

NOT RENEWED

Business

First Name

PAMELA DIANA

Last Name

WARD

Business Name

PAMELA DIANA WARD

Original Issue Date

09/22/1978

Effective Date

09/22/1978

Expiration Date

01/01/1997

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005