TIFFANY ANN DIEKEMPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135206

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

ANN

Last Name

DIEKEMPER

Business Name

TIFFANY ANN DIEKEMPER

Original Issue Date

03/15/2001

Effective Date

03/15/2001

Expiration Date

03/31/2003

City

LEBANON

State

Zip

62254

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005