NATHANIEL J DIETMEYER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150951

License Status

NOT RENEWED

Business

First Name

NATHANIEL

Middle

Last Name

DIETMEYER

Business Name

NATHANIEL J DIETMEYER

Original Issue Date

09/25/2003

Effective Date

09/25/2003

Expiration Date

03/31/2005

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005