KELLY ANN DIEHL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152499

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANN

Last Name

DIEHL

Business Name

KELLY ANN DIEHL

Original Issue Date

12/15/2003

Effective Date

12/15/2003

Expiration Date

03/31/2005

City

OREGON

State

Zip

61061

County

OGLE

Ever Disciplined

LastModifiedDate

10/20/2005