DIANA JEAN RISNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158688

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

JEAN

Last Name

RISNER

Business Name

DIANA JEAN RISNER

Original Issue Date

12/30/2004

Effective Date

12/30/2004

Expiration Date

03/31/2006

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

07/19/2007