KEENA DIANE SKAGGS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126597

License Status

NOT RENEWED

Business

First Name

KEENA

Middle

DIANE

Last Name

SKAGGS

Business Name

KEENA DIANE SKAGGS

Original Issue Date

07/02/1999

Effective Date

07/02/1999

Expiration Date

03/31/2004

City

MACKINAW

State

Zip

61755

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005