TYSON EDWIN DIETRICH - Pharmacist License in South Dakota | # 051299940

TYSON EDWIN DIETRICH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051299940

License Status

NOT RENEWED

Business

N

First Name

TYSON

Middle

EDWIN

Last Name

DIETRICH

Business Name

TYSON EDWIN DIETRICH

Original Issue Date

09/20/2016

Effective Date

09/20/2016

Expiration Date

03/31/2018

State

SD

Ever Disciplined

N

LastModifiedDate

06/19/2018