ANDREA M DIETRICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191332

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

DIETRICH

Business Name

ANDREA M DIETRICH

Original Issue Date

04/27/2009

Effective Date

04/27/2009

Expiration Date

03/31/2010

City

MOSCOW MILLS

State

Zip

63362

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/04/2010