DIANE L DUZAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084611

License Status

NOT RENEWED

Business

First Name

DIANE L

Last Name

DUZAN

Business Name

DIANE L DUZAN

Original Issue Date

07/06/1987

Effective Date

07/06/1987

Expiration Date

03/31/1992

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005