ERIKA ANN DIERICX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180832

License Status

NOT RENEWED

Business

First Name

ERIKA

Middle

ANN

Last Name

DIERICX

Business Name

ERIKA ANN DIERICX

Original Issue Date

11/30/2007

Effective Date

02/03/2014

Expiration Date

03/31/2015

City

WASHINGTON

State

Zip

61571

Ever Disciplined

LastModifiedDate

05/11/2015