DIANA C RENKEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107695

License Status

NOT RENEWED

Business

First Name

DIANA C

Last Name

RENKEN

Business Name

DIANA C RENKEN

Original Issue Date

07/30/1994

Effective Date

07/30/1994

Expiration Date

03/31/1995

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005