DIANE JANE MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124399

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

JANE

Last Name

MARTIN

Business Name

DIANE JANE MARTIN

Original Issue Date

01/08/1999

Effective Date

03/03/2006

Expiration Date

03/31/2007

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

05/14/2007