DIANE M BALTISBERGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086684

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

BALTISBERGER

Business Name

DIANE M BALTISBERGER

Original Issue Date

05/14/1988

Effective Date

05/14/1988

Expiration Date

03/31/2003

City

HARDIN

State

Zip

62047

County

CALHOUN

Ever Disciplined

LastModifiedDate

10/20/2005