SALLY ELIZABETH DIETZLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059363

License Status

NOT RENEWED

Business

First Name

SALLY ELIZABETH

Last Name

DIETZLER

Business Name

SALLY ELIZABETH DIETZLER

Original Issue Date

04/13/1973

Effective Date

04/13/1973

Expiration Date

01/01/1997

City

SCHAUMBURG

State

Zip

60172

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005