DIANA JO MAYBERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128756

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

MAYBERRY

Business Name

DIANA JO MAYBERRY

Original Issue Date

12/28/1999

Effective Date

01/30/2013

Expiration Date

03/31/2014

City

NORRIS CITY

State

Zip

62869

County

WHITE

Ever Disciplined

LastModifiedDate

05/06/2014