DIANE ELIZABETH WILLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080346

License Status

NOT RENEWED

Business

First Name

DIANE ELIZABETH

Last Name

WILLSON

Business Name

DIANE ELIZABETH WILLSON

Original Issue Date

10/09/1984

Effective Date

10/09/1984

Expiration Date

03/31/1990

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005