LORI MICHELLE DIETERLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137317

License Status

NOT RENEWED

Business

First Name

LORI

Middle

MICHELLE

Last Name

DIETERLE

Business Name

LORI MICHELLE DIETERLE

Original Issue Date

07/19/2001

Effective Date

06/22/2006

Expiration Date

03/31/2007

City

PALATINE

State

Zip

60074

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007