DIANA M DAVISSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085773

License Status

NOT RENEWED

Business

First Name

DIANA M

Last Name

DAVISSON

Business Name

DIANA M DAVISSON

Original Issue Date

12/24/1987

Effective Date

12/24/1987

Expiration Date

03/31/1989

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005