DIANE AURORE TAKOUAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051304622

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

AURORE

Last Name

TAKOUAM

Prefix

Business Name

DIANE AURORE TAKOUAM

Original Issue Date

03/03/2022

Effective Date

03/03/2022

Expiration Date

03/31/2024

City

GRANGER

State

Zip

46530

Ever Disciplined

LastModifiedDate

02/05/2025