DIANE L HEADLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084063

License Status

NOT RENEWED

Business

First Name

DIANE L

Last Name

HEADLEY

Business Name

DIANE L HEADLEY

Original Issue Date

03/28/1987

Effective Date

03/28/1987

Expiration Date

03/31/1993

City

PRINCETON

State

Zip

61356

County

BUREAU

Ever Disciplined

LastModifiedDate

10/17/2005