ANNA NICOLE DISS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258973

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

NICOLE

Last Name

DISS

Business Name

ANNA NICOLE DISS

Original Issue Date

08/06/2018

Effective Date

03/09/2020

Expiration Date

03/31/2021

City

ALMA

State

Zip

62807

County

MARION

Ever Disciplined

LastModifiedDate

07/20/2021