JUDY D DIERCKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101661

License Status

NOT RENEWED

Business

First Name

JUDY D

Last Name

DIERCKS

Business Name

JUDY D DIERCKS

Original Issue Date

11/09/1992

Effective Date

02/20/2018

Expiration Date

03/31/2019

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

07/15/2019