TAMI LYNN DEITER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100111

License Status

NOT RENEWED

Business

First Name

TAMI

Middle

LYNN

Last Name

DEITER

Business Name

TAMI LYNN DEITER

Original Issue Date

05/09/1992

Effective Date

05/09/1992

Expiration Date

03/31/2000

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005