DIANE MARIE WITZLEB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149297

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

MARIE

Last Name

WITZLEB

Business Name

DIANE MARIE WITZLEB

Original Issue Date

06/26/2003

Effective Date

06/26/2003

Expiration Date

03/31/2006

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

05/11/2006