DIANA L TIPPITT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100952

License Status

NOT RENEWED

Business

First Name

DIANA L

Last Name

TIPPITT

Business Name

DIANA L TIPPITT

Original Issue Date

08/11/1992

Effective Date

08/11/1992

Expiration Date

03/31/1997

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005