DIANE M GRUBER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188921

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

GRUBER

Prefix

Business Name

DIANE M GRUBER

Original Issue Date

12/29/2008

Effective Date

03/01/2010

Expiration Date

03/31/2011

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

05/12/2011