RICHARD L DIEDERICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061653

License Status

NOT RENEWED

Business

First Name

RICHARD L

Last Name

DIEDERICH

Business Name

RICHARD L DIEDERICH

Original Issue Date

06/14/1974

Effective Date

06/14/1974

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005