BRADLEY P DIETZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116612

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

Last Name

DIETZ

Business Name

BRADLEY P DIETZ

Original Issue Date

03/03/1997

Effective Date

03/03/1997

Expiration Date

03/31/2002

City

WHEELING

State

Zip

60090

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005