ANNE H DIERKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067457

License Status

NOT RENEWED

Business

First Name

ANNE H

Last Name

DIERKER

Business Name

ANNE H DIERKER

Original Issue Date

06/10/1977

Effective Date

06/10/1977

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005