DIANE HELEN PRUITT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224373

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

HELEN

Last Name

PRUITT

Business Name

DIANE HELEN PRUITT

Original Issue Date

04/07/2014

Effective Date

01/21/2015

Expiration Date

03/31/2016

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/20/2016