KEIONDA DIANE CLAY Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049324756

License Status

ACTIVE

Business

First Name

KEIONDA

Middle

DIANE

Last Name

CLAY

Business Name

KEIONDA DIANE CLAY

Original Issue Date

10/03/2025

Effective Date

10/03/2025

Expiration Date

03/31/2026

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/30/2026