DIANA R BRUBAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091181

License Status

NOT RENEWED

Business

First Name

DIANA R

Last Name

BRUBAKER

Business Name

DIANA R BRUBAKER

Original Issue Date

09/30/1989

Effective Date

01/20/2015

Expiration Date

03/31/2016

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016