DALE G DIETRICH - Pharmacist License in Illinois | # 049063454

DALE G DIETRICH

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063454

License Status

CANCELLED

Business

N

First Name

DALE G

Last Name

DIETRICH

Business Name

DALE G DIETRICH

Original Issue Date

05/16/1975

Effective Date

05/16/1975

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005