POLLY LYNN DIRCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063719

License Status

NOT RENEWED

Business

First Name

POLLY LYNN

Last Name

DIRCK

Business Name

POLLY LYNN DIRCK

Original Issue Date

06/20/1975

Effective Date

06/20/1975

Expiration Date

01/01/1997

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005