DIANE M SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092205

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

SMITH

Business Name

DIANE M SMITH

Original Issue Date

02/04/1990

Effective Date

02/04/1990

Expiration Date

03/31/1999

City

DE LAND

State

Zip

61839

County

PIATT

Ever Disciplined

LastModifiedDate

10/17/2005