DIANE K MAYFIELD Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049088713

License Status

INACTIVE

Business

First Name

DIANE K

Last Name

MAYFIELD

Business Name

DIANE K MAYFIELD

Original Issue Date

01/21/1989

Effective Date

03/03/2010

Expiration Date

03/31/2011

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

01/05/2011