AMY L DIERKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084424

License Status

NOT RENEWED

Business

First Name

AMY L

Last Name

DIERKS

Business Name

AMY L DIERKS

Original Issue Date

05/15/1987

Effective Date

05/15/1987

Expiration Date

03/31/1988

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005