TYLER R DEIEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177389

License Status

NOT RENEWED

Business

First Name

TYLER

Middle

Last Name

DEIEN

Business Name

TYLER R DEIEN

Original Issue Date

06/28/2007

Effective Date

03/20/2009

Expiration Date

03/31/2010

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

05/04/2010