DIANA L EVANS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112803

License Status

INACTIVE

Business

First Name

DIANA L

Last Name

EVANS

Business Name

DIANA L EVANS

Original Issue Date

12/18/1995

Effective Date

03/17/2014

Expiration Date

03/31/2015

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

01/06/2015