DIANE E WHITE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149065

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

WHITE

Business Name

DIANE E WHITE

Original Issue Date

06/23/2003

Effective Date

03/26/2018

Expiration Date

03/31/2019

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/15/2019