KIMBERLY S DIETZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168418

License Status

NOT RENEWED

Business

First Name

KIMBERLY S

Last Name

DIETZ

Business Name

KIMBERLY S DIETZ

Original Issue Date

05/04/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/02/2008