DIANE LYNN HAGENE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049277012

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

LYNN

Last Name

HAGENE

Business Name

DIANE LYNN HAGENE

Original Issue Date

10/26/2020

Effective Date

01/19/2021

Expiration Date

05/31/2022

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Ever Disciplined

LastModifiedDate

07/27/2022