DANA C DIEDERICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049272217

License Status

NOT RENEWED

Business

First Name

DANA

Middle

Last Name

DIEDERICH

Business Name

DANA C DIEDERICH

Original Issue Date

04/02/2020

Effective Date

04/02/2020

Expiration Date

03/31/2021

City

WONDER LAKE

State

Zip

60097

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/20/2021