DIANA C RENKEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051040065

License Status

INACTIVE

Business

First Name

DIANA C

Last Name

RENKEN

Business Name

DIANA C RENKEN

Original Issue Date

11/29/1994

Effective Date

11/29/1994

Expiration Date

03/31/2002

City

DE FOREST

State

Zip

53532

Ever Disciplined

LastModifiedDate

12/06/2005