DIANE WASSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143195

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

WASSON

Business Name

DIANE WASSON

Original Issue Date

06/13/2002

Effective Date

01/10/2011

Expiration Date

03/31/2012

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/07/2012