AMY NICOLE DIEKEMPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200235

License Status

NOT RENEWED

Business

First Name

AMY

Middle

NICOLE

Last Name

DIEKEMPER

Business Name

AMY NICOLE DIEKEMPER

Original Issue Date

08/30/2010

Effective Date

01/19/2017

Expiration Date

03/31/2018

City

MAHOMET

State

Zip

61853

Ever Disciplined

LastModifiedDate

06/19/2018