DIESHANEK POLK Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049321817

License Status

ACTIVE

Business

First Name

DIESHANEK

Last Name

POLK

Business Name

DIESHANEK POLK

Original Issue Date

07/26/2025

Effective Date

03/20/2026

Expiration Date

03/31/2027

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/20/2026