DIANE A PALMENO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160195

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

PALMENO

Business Name

DIANE A PALMENO

Original Issue Date

04/14/2005

Effective Date

03/22/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012