AMBRY J DIEDRICH - Pharmacist License in Wisconsin | # 049181764

AMBRY J DIEDRICH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181764

License Status

NOT RENEWED

Business

N

First Name

AMBRY

Middle

J

Last Name

DIEDRICH

Business Name

AMBRY J DIEDRICH

Original Issue Date

01/28/2008

Effective Date

01/28/2008

Expiration Date

03/31/2009

State

WI

Ever Disciplined

N

LastModifiedDate

05/06/2009