COURTNEY LYNN DIEDERICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176234

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

LYNN

Last Name

DIEDERICH

Business Name

COURTNEY LYNN DIEDERICH

Original Issue Date

05/09/2007

Effective Date

04/23/2009

Expiration Date

03/31/2010

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/04/2010