DIANA L SHALLENBERGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076563

License Status

NOT RENEWED

Business

First Name

DIANA L

Last Name

SHALLENBERGER

Business Name

DIANA L SHALLENBERGER

Original Issue Date

06/07/1982

Effective Date

06/07/1982

Expiration Date

03/31/1984

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005