DIANA S ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063599

License Status

NOT RENEWED

Business

First Name

DIANA S

Last Name

ANDERSON

Business Name

DIANA S ANDERSON

Original Issue Date

06/06/1975

Effective Date

06/06/1975

Expiration Date

03/31/1992

City

JANESVILLE

State

Zip

53546

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005