DIANE WANLESS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077670

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

WANLESS

Business Name

DIANE WANLESS

Original Issue Date

01/10/1983

Effective Date

01/10/1983

Expiration Date

03/31/1986

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005