DIANA M SHEPPARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150558

License Status

NOT RENEWED

Business

First Name

DIANA M

Last Name

SHEPPARD

Business Name

DIANA M SHEPPARD

Original Issue Date

09/10/2003

Effective Date

09/10/2003

Expiration Date

03/31/2004

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005