KENNETH J DIETZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153237

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

DIETZ

Business Name

KENNETH J DIETZ

Original Issue Date

02/10/2004

Effective Date

04/01/2022

Expiration Date

03/31/2023

City

CRESTWOOD

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2023