WYATT GEREALD DIEKEMPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049312893

License Status

NOT RENEWED

Business

First Name

WYATT

Middle

GEREALD

Last Name

DIEKEMPER

Business Name

WYATT GEREALD DIEKEMPER

Original Issue Date

06/07/2024

Effective Date

06/07/2024

Expiration Date

03/31/2025

City

CARLYLE

State

Zip

62231

County

CLINTON

Ever Disciplined

LastModifiedDate

07/08/2025