DIANA L BOGNER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129969

License Status

INACTIVE

Business

First Name

DIANA

Middle

Last Name

BOGNER

Business Name

DIANA L BOGNER

Original Issue Date

03/14/2000

Effective Date

03/06/2012

Expiration Date

03/31/2013

City

SPARLAND

State

Zip

61565

County

MARSHALL

Ever Disciplined

LastModifiedDate

01/03/2013