DIANE MARIE ADKISSON - Pharmacist License in Illinois | # 049123167

DIANE MARIE ADKISSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123167

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005