DIANA KAMP Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143059

License Status

INACTIVE

Business

First Name

DIANA

Last Name

KAMP

Business Name

DIANA KAMP

Original Issue Date

06/10/2002

Effective Date

02/18/2020

Expiration Date

03/31/2021

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

01/10/2021