DIANA L BURNETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096312

License Status

NOT RENEWED

Business

First Name

DIANA L

Last Name

BURNETT

Business Name

DIANA L BURNETT

Original Issue Date

03/29/1991

Effective Date

03/29/1991

Expiration Date

03/31/1992

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005