DIANE R WADE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218557

License Status

INACTIVE

Business

First Name

DIANE

Middle

Last Name

WADE

Business Name

DIANE R WADE

Original Issue Date

06/07/2013

Effective Date

06/07/2013

Expiration Date

03/31/2014

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

01/09/2014