MICHAEL DIETRICH MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049226391

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Last Name

DIETRICH

Prefix

Business Name

MICHAEL DIETRICH MD

Original Issue Date

07/09/2014

Effective Date

03/12/2015

Expiration Date

03/31/2016

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

05/20/2016