JENNIFER JILL DIETZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119631

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

JILL

Last Name

DIETZ

Business Name

JENNIFER JILL DIETZ

Original Issue Date

12/18/1997

Effective Date

12/18/1997

Expiration Date

03/31/1998

City

MOUNT CARMEL

State

Zip

62863

County

EDWARDS

Ever Disciplined

LastModifiedDate

10/17/2005