DIANE MARIE ANDERTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139794

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

MARIE

Last Name

ANDERTON

Business Name

DIANE MARIE ANDERTON

Original Issue Date

01/04/2002

Effective Date

01/04/2002

Expiration Date

03/31/2004

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005