MELISSA LYNN DIERKES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158432

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

LYNN

Last Name

DIERKES

Business Name

MELISSA LYNN DIERKES

Original Issue Date

12/17/2004

Effective Date

02/03/2011

Expiration Date

03/31/2012

City

BARTELSO

State

Zip

62218

County

CLINTON

Ever Disciplined

LastModifiedDate

05/07/2012