DIANE LYNN DERUDDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070510

License Status

NOT RENEWED

Business

First Name

DIANE LYNN

Last Name

DERUDDER

Business Name

DIANE LYNN DERUDDER

Original Issue Date

12/22/1978

Effective Date

12/22/1978

Expiration Date

03/31/1982

City

PARK CITY

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005