DIANE M SHUPE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085634

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

SHUPE

Business Name

DIANE M SHUPE

Original Issue Date

11/14/1987

Effective Date

02/26/2019

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

01/08/2021