CAROL L DIERKING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116266

License Status

NOT RENEWED

Business

First Name

CAROL L

Last Name

DIERKING

Business Name

CAROL L DIERKING

Original Issue Date

12/31/1996

Effective Date

02/18/2009

Expiration Date

03/31/2010

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010