DIANE E IKOME Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266146

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

IKOME

Business Name

DIANE E IKOME

Original Issue Date

06/19/2019

Effective Date

02/05/2020

Expiration Date

03/31/2021

City

PADUCAH

State

Zip

42003

County

KENTUCKY

Ever Disciplined

LastModifiedDate

07/20/2021