BRIDIE A DEITERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096954

License Status

NOT RENEWED

Business

First Name

BRIDIE

Middle

Last Name

DEITERS

Business Name

BRIDIE A DEITERS

Original Issue Date

05/25/1991

Effective Date

05/25/1991

Expiration Date

03/31/1993

City

FRANKFORT

State

Zip

60423

Ever Disciplined

LastModifiedDate

10/17/2005