DIANE L MCMAHON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094175

License Status

NOT RENEWED

Business

First Name

DIANE L

Last Name

MCMAHON

Business Name

DIANE L MCMAHON

Original Issue Date

08/22/1990

Effective Date

08/22/1990

Expiration Date

03/31/1992

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005