MARK ROBERT DIETSCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153985

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ROBERT

Last Name

DIETSCH

Business Name

MARK ROBERT DIETSCH

Original Issue Date

04/07/2004

Effective Date

01/06/2009

Expiration Date

03/31/2010

City

LEXINGTON

State

Zip

61753

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/04/2010