DIANE STGEORGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071366

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

STGEORGE

Business Name

DIANE STGEORGE

Original Issue Date

06/15/1979

Effective Date

06/15/1979

Expiration Date

01/01/1997

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005