KIM MARIE DIESER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107874

License Status

NOT RENEWED

Business

First Name

KIM MARIE

Last Name

DIESER

Business Name

KIM MARIE DIESER

Original Issue Date

08/22/1994

Effective Date

08/22/1994

Expiration Date

03/31/1995

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005