DIANE M BLUE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118967

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

BLUE

Business Name

DIANE M BLUE

Original Issue Date

10/03/1997

Effective Date

10/03/1997

Expiration Date

03/31/2001

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005