AMBRY J DIEDRICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181764

License Status

NOT RENEWED

Business

First Name

AMBRY

Middle

Last Name

DIEDRICH

Business Name

AMBRY J DIEDRICH

Original Issue Date

01/28/2008

Effective Date

01/28/2008

Expiration Date

03/31/2009

City

TWIN LAKES

State

Zip

53181

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/06/2009