DIANA LYNN KUTKAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130545

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

LYNN

Last Name

KUTKAT

Business Name

DIANA LYNN KUTKAT

Original Issue Date

04/14/2000

Effective Date

04/14/2000

Expiration Date

03/31/2001

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/21/2005