ANDREA DAWN DIETZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142348

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

DAWN

Last Name

DIETZ

Business Name

ANDREA DAWN DIETZ

Original Issue Date

05/09/2002

Effective Date

05/09/2002

Expiration Date

03/31/2004

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

08/03/2018