JENNIFER L DIETZ - Pharmacist License in Illinois | # 049156048

JENNIFER L DIETZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156048

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

L

Last Name

DIETZ

Business Name

JENNIFER L DIETZ

Original Issue Date

07/09/2004

Effective Date

04/15/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021