DONNA M DIETZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174652

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

Last Name

DIETZ

Business Name

DONNA M DIETZ

Original Issue Date

03/06/2007

Effective Date

01/29/2010

Expiration Date

03/31/2011

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011