BRIAN D DIETERLE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036935

License Status

INACTIVE

Business

First Name

BRIAN D

Last Name

DIETERLE

Business Name

BRIAN D DIETERLE

Original Issue Date

04/25/1988

Effective Date

04/25/1988

Expiration Date

03/31/1990

City

CLARENDON HILLS

State

Zip

60514

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005