TYSON EDWIN DIETRICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051299940

License Status

NOT RENEWED

Business

First Name

TYSON

Middle

EDWIN

Last Name

DIETRICH

Business Name

TYSON EDWIN DIETRICH

Original Issue Date

09/20/2016

Effective Date

09/20/2016

Expiration Date

03/31/2018

City

RAPID CITY

State

Zip

57702

County

SOUTH DAKOTA

Ever Disciplined

LastModifiedDate

06/19/2018