DIANE K SUNDEEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049089008

License Status

INACTIVE

Business

First Name

DIANE K

Last Name

SUNDEEN

Business Name

DIANE K SUNDEEN

Original Issue Date

02/23/1989

Effective Date

01/27/2012

Expiration Date

03/31/2013

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/03/2013