DIANE R PHILYAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086961

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

PHILYAW

Business Name

DIANE R PHILYAW

Original Issue Date

06/14/1988

Effective Date

06/14/1988

Expiration Date

03/31/1990

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/17/2005