KIM Y DIEDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231816

License Status

NOT RENEWED

Business

First Name

KIM

Middle

Last Name

DIEDEN

Prefix

Business Name

KIM Y DIEDEN

Original Issue Date

03/19/2015

Effective Date

02/10/2016

Expiration Date

03/31/2017

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/10/2017