TERRENCE E DIERKES Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072260

License Status

CANCELLED

Business

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

City

GERMANTOWN

State

Zip

62245

County

CLINTON

Ever Disciplined

LastModifiedDate

10/17/2005