BEN JAMES DIETZ - Pharmacist License in Illinois | # 049149258

BEN JAMES DIETZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149258

License Status

NOT RENEWED

Business

N

First Name

BEN

Middle

JAMES

Last Name

DIETZ

Business Name

BEN JAMES DIETZ

Original Issue Date

06/25/2003

Effective Date

06/25/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005