DIANE MARIE BURRELSMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049281689

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

MARIE

Last Name

BURRELSMAN

Business Name

DIANE MARIE BURRELSMAN

Original Issue Date

04/20/2021

Effective Date

04/20/2021

Expiration Date

05/31/2022

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/27/2022