CONNIE SUE DIERKING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202995

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

SUE

Last Name

DIERKING

Business Name

CONNIE SUE DIERKING

Original Issue Date

03/03/2011

Effective Date

03/03/2011

Expiration Date

03/31/2012

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

05/07/2012