DIANA L ROSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162909

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

ROSE

Business Name

DIANA L ROSE

Original Issue Date

08/11/2005

Effective Date

08/11/2005

Expiration Date

03/31/2006

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/11/2006