JASON PAUL DIETERLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131509

License Status

NOT RENEWED

Business

First Name

JASON

Middle

PAUL

Last Name

DIETERLE

Business Name

JASON PAUL DIETERLE

Original Issue Date

07/11/2000

Effective Date

07/11/2000

Expiration Date

03/31/2001

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/21/2005