JENNA NICOLE DIETRICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173549

License Status

NOT RENEWED

Business

First Name

JENNA

Middle

NICOLE

Last Name

DIETRICH

Business Name

JENNA NICOLE DIETRICH

Original Issue Date

01/11/2007

Effective Date

01/11/2007

Expiration Date

03/31/2008

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

05/02/2008