DANIELLE M DIETZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223434

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

Last Name

DIETZ

Prefix

Business Name

DANIELLE M DIETZ

Original Issue Date

02/17/2014

Effective Date

02/17/2014

Expiration Date

03/31/2015

City

SHEBOYGAN

State

Zip

53083

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/11/2015