DIANE MARIE DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071443

License Status

NOT RENEWED

Business

First Name

DIANE MARIE

Last Name

DAVIS

Business Name

DIANE MARIE DAVIS

Original Issue Date

07/06/1979

Effective Date

07/06/1979

Expiration Date

03/31/1982

City

ROCHELLE

State

Zip

61068

County

OGLE

Ever Disciplined

LastModifiedDate

10/17/2005