DIANE M MYERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156976

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

MYERS

Business Name

DIANE M MYERS

Original Issue Date

08/27/2004

Effective Date

08/27/2004

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006