DIANE M KOSTERMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197175

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

KOSTERMAN

Business Name

DIANE M KOSTERMAN

Original Issue Date

03/08/2010

Effective Date

03/08/2010

Expiration Date

03/31/2011

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

05/12/2011