MARK A DIERKING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082513

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

DIERKING

Business Name

MARK A DIERKING

Original Issue Date

04/28/1986

Effective Date

04/28/1986

Expiration Date

03/31/1990

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005