DALE G DIETRICH Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063454

License Status

CANCELLED

Business

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

City

PAYSON

State

Zip

62360

County

ADAMS

Ever Disciplined

LastModifiedDate

10/17/2005