DIANE M TARDIO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103163

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

TARDIO

Business Name

DIANE M TARDIO

Original Issue Date

04/21/1993

Effective Date

04/21/1993

Expiration Date

03/31/1998

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005