DIANA LORRAINE STOCKWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174581

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

LORRAINE

Last Name

STOCKWELL

Business Name

DIANA LORRAINE STOCKWELL

Original Issue Date

03/01/2007

Effective Date

03/05/2009

Expiration Date

03/31/2010

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010