CODY S DIERKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212699

License Status

NOT RENEWED

Business

First Name

CODY

Middle

Last Name

DIERKS

Prefix

Business Name

CODY S DIERKS

Original Issue Date

08/06/2012

Effective Date

03/20/2013

Expiration Date

03/31/2014

City

STEELEVILLE

State

Zip

62288

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/06/2014