TERRENCE E DIERKES - Pharmacist License in Illinois | # 049072260

TERRENCE E DIERKES

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072260

License Status

CANCELLED

Business

N

First Name

TERRENCE E

Last Name

DIERKES

Business Name

TERRENCE E DIERKES

Original Issue Date

12/26/1979

Effective Date

12/26/1979

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005