DIANE SUE POLHEMUS Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143976

License Status

ACTIVE

Business

First Name

DIANE

Middle

SUE

Last Name

POLHEMUS

Business Name

DIANE SUE POLHEMUS

Original Issue Date

08/01/2002

Effective Date

02/06/2026

Expiration Date

03/31/2027

City

FARMINGTON

State

Zip

61531

County

FULTON

Ever Disciplined

LastModifiedDate

02/06/2026