DIANE MARIE ADKISSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123167

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

MARIE

Last Name

ADKISSON

Business Name

DIANE MARIE ADKISSON

Original Issue Date

10/09/1998

Effective Date

10/09/1998

Expiration Date

03/31/2005

City

ROSEVILLE

State

Zip

61473

County

WARREN

Ever Disciplined

LastModifiedDate

10/20/2005