KELLY C DIEDERICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170243

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

DIEDERICH

Business Name

KELLY C DIEDERICH

Original Issue Date

07/26/2006

Effective Date

03/18/2015

Expiration Date

03/31/2016

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/20/2016