DIANE C HERDEGEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222971

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

HERDEGEN

Business Name

DIANE C HERDEGEN

Original Issue Date

01/17/2014

Effective Date

03/01/2022

Expiration Date

03/31/2023

City

CROSSVILLE

State

Zip

38572

Ever Disciplined

LastModifiedDate

09/07/2023