STEPHEN JACKSON DIERCKES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268886

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

JACKSON

Last Name

DIERCKES

Business Name

STEPHEN JACKSON DIERCKES

Original Issue Date

10/28/2019

Effective Date

10/28/2019

Expiration Date

09/30/2020

City

NOBLESVILLE

State

Zip

46062

Ever Disciplined

LastModifiedDate

01/08/2021