DIANE A JUDD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164001

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

JUDD

Business Name

DIANE A JUDD

Original Issue Date

09/19/2005

Effective Date

09/19/2005

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006