BRADLEY P DIETZ - Pharmacist License in Illinois | # 049116612

BRADLEY P DIETZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116612

License Status

NOT RENEWED

Business

N

First Name

BRADLEY

Middle

P

Last Name

DIETZ

Business Name

BRADLEY P DIETZ

Original Issue Date

03/03/1997

Effective Date

03/03/1997

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005