JACOB GERALD DIEDRICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282624

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

GERALD

Last Name

DIEDRICH

Business Name

JACOB GERALD DIEDRICH

Original Issue Date

05/26/2021

Effective Date

05/26/2021

Expiration Date

05/31/2022

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

07/27/2022