JENNIFER L DIETZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156048

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

DIETZ

Business Name

JENNIFER L DIETZ

Original Issue Date

07/09/2004

Effective Date

04/15/2019

Expiration Date

09/30/2020

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

01/08/2021