DIANA L ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091321

License Status

NOT RENEWED

Business

First Name

DIANA L

Last Name

ANDERSON

Business Name

DIANA L ANDERSON

Original Issue Date

09/30/1989

Effective Date

09/30/1989

Expiration Date

03/31/1996

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

10/17/2005