DIANE M THIBOUTOT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033410

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

THIBOUTOT

Business Name

DIANE M THIBOUTOT

Original Issue Date

09/15/1980

Effective Date

09/15/1980

Expiration Date

03/31/1986

City

DOWNINGTOWN

State

Zip

19335

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

10/17/2005