DIEDRA R EWBANK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099641

License Status

NOT RENEWED

Business

First Name

DIEDRA R

Last Name

EWBANK

Business Name

DIEDRA R EWBANK

Original Issue Date

03/12/1992

Effective Date

03/12/1992

Expiration Date

03/31/1996

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/17/2005