ANITA S DIEFENBACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091820

License Status

NOT RENEWED

Business

First Name

ANITA S

Last Name

DIEFENBACH

Business Name

ANITA S DIEFENBACH

Original Issue Date

12/12/1989

Effective Date

12/12/1989

Expiration Date

03/31/2003

City

CARRIER MILLS

State

Zip

62917

County

SALINE

Ever Disciplined

LastModifiedDate

10/20/2005