CALEB J DIERICX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177496

License Status

NOT RENEWED

Business

First Name

CALEB

Middle

Last Name

DIERICX

Business Name

CALEB J DIERICX

Original Issue Date

07/02/2007

Effective Date

01/31/2012

Expiration Date

03/31/2013

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/06/2013