DELORES A DIERZEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077582

License Status

NOT RENEWED

Business

First Name

DELORES A

Last Name

DIERZEN

Business Name

DELORES A DIERZEN

Original Issue Date

12/27/1982

Effective Date

12/27/1982

Expiration Date

03/31/1984

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

10/17/2005