DIANA SHERESE HAGANS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165638

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

SHERESE

Last Name

HAGANS

Business Name

DIANA SHERESE HAGANS

Original Issue Date

12/14/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

GRIFFITH

State

Zip

46319

County

INDIANA

Ever Disciplined

LastModifiedDate

05/02/2008