License holder summary

DIANE MARY BORMANN is a Pharmacist licensed to practice in Indiana. The address on file for DIANE MARY BORMANN is FORT WAYNE IN 46815. This licensed professional license is not current. The license was granted 09/21/1987 and expired on 06/30/1994.

Indiana

Professional Licensing Agency

DIANE MARY BORMANN
Pharmacist
License number
26016151A
Date granted
09/21/1987
Date expires
06/30/1994
Class
Pharmacist
Status
Expired Non-Renewable
Address
FORT WAYNE IN 46815
indianalicensing.org
ID 8292651
LAST UPDATED 2021-05-30 18:09:40 UTC

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