DEBORAH J DIEDERICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062670

License Status

NOT RENEWED

Business

First Name

DEBORAH J

Last Name

DIEDERICH

Business Name

DEBORAH J DIEDERICH

Original Issue Date

12/13/1974

Effective Date

12/13/1974

Expiration Date

01/01/1997

City

COLONA

State

Zip

61241

County

HENRY

Ever Disciplined

LastModifiedDate

10/17/2005