DIANE MARIE DIERKES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106748

License Status

NOT RENEWED

Business

First Name

DIANE MARIE

Last Name

DIERKES

Business Name

DIANE MARIE DIERKES

Original Issue Date

04/28/1994

Effective Date

04/28/1994

Expiration Date

03/31/1998

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005